Organization
INTEGRIS PROHEALTH INC
Active
Other names
INTEGRIS Pharmacy 4173
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL L WEED (TREASURER)
(405) 951-2737
Entity
Organization
Contact information
Practice address
600 S MONROE ST STE 1A, ENID, OK 73701-7211
(580) 213-3442
(405) 815-6445
Mailing address
3435 NW 56TH ST STE 301A, OKLAHOMA CITY, OK 73112-4428
(405) 713-7407
(405) 815-6445
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5-7196
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10070550H
—
OK
01
—
2150932
PK
—
Enumeration date
03/31/2015
Last updated
08/19/2025
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