Organization
INTEGRIS PROHEALTH INC
Active
Other names
INTEGRIS Pharmacy 4174
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL L WEED (TREASURER)
(405) 951-2737
Entity
Organization
Contact information
Practice address
1205 HEALTH CENTER PKWY STE 115, YUKON, OK 73099-6396
(405) 717-5330
(405) 717-5311
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
26-7197
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2150930
PK
—
Enumeration date
03/31/2015
Last updated
11/06/2025
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