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INTEGRIS PROHEALTH INC NPI 1255497525


NPI Information

NPI: 1255497525
Provider Name: INTEGRIS PROHEALTH INC

Doing Business As: INTEGRIS PHARMACY 4190

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
3433 NW 56TH ST
STE 140B
OKLAHOMA CITY, OK
ZIP 73112
Phone: (405) 945-4400
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INTEGRIS PROHEALTH INC is a community/retail pharmacy pharmacy in Oklahoma City, OK. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. INTEGRIS PROHEALTH INC NPI is 1255497525. The provider is registered as an organization entity type.
The provider Is Doing Business As Integris Pharmacy 4190.

The provider's business location address is:

3433 NW 56TH ST
STE 140B
OKLAHOMA CITY, OK
ZIP 73112-455
Phone: (405) 945-4400
Fax: (405) 945-4407

The provider's authorized official is Joel Lane .
The authorized official title is Director Of Pharmacy and has the following contact phone number (405) 949-3120.

The enumeration date for this NPI number is 12/29/2006 and was last updated on 3/30/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336S0011XPharmacySpecialty PharmacyNo
33336C0003XPharmacyCommunity/Retail Pharmacy1-6901OKLAHOMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1100239970BMEDICAIDOKLAHOMA
22074201OTHERPK
3100239970AMEDICAIDOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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