Organization
INTEGRIS PROHEALTH INC
Active
Parent organization
INTEGRIS PROHEALTH INC
Other names
INTEGRIS Pharmacy 4185
Organization subpart
Yes
Provider details
NPI number
Legal business name
INTEGRIS PROHEALTH INC
Authorized official
MICHAEL L WEED (TREASURER)
(405) 951-2737
Entity
Organization
Contact information
Practice address
4221 S WESTERN AVE STE 1020, OKLAHOMA CITY, OK 73109-3448
(405) 636-7717
(405) 636-7542
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
3336C0003X
Community/Retail Pharmacy
Primary
16898
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100243020A
—
OK
05
—
100243020B
—
OK
01
—
2141245
PK
—
Enumeration date
02/12/2007
Last updated
11/06/2025
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