Integris Prohealth INC
Pharmacy, Community/Retail Pharmacy in Enid, OK. Organization (NPI-2).
NPI number1669867396
StatusActive
Last updated in NPPESAug 19, 2025
Details
- NPI
- 1669867396
- Entity type
- Organization (NPI-2)
- Legal business name
- Integris Prohealth INC
- Organization subpart
- No
- Enumeration date
- Mar 31, 2015
- Certification date
- Aug 19, 2025
- Last updated
- Aug 19, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 5-7196 | OK | Yes |
| 333600000X | Pharmacy | – | – |
Other names
- Integris Pharmacy 4173 (Doing Business As)
Practice location
600 S Monroe St Ste 1aEnid, OK 73701-7211
Phone 580-213-3442 · Fax 405-815-6445
Mailing address
3435 Nw 56th St Ste 301aOklahoma City, OK 73112-4428
Phone 405-713-7407 · Fax 405-815-6445
Authorized official
Michael L Weed
Treasurer
4059512737
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