The Clinic Rx Pharmacy

LBN: Integris Prohealth Inc
The Clinic Rx Pharmacy is an health care organization with primary practice located at 7301 Sw 44Th St # F , Oklahoma City OK 73179-4308. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Integris Prohealth Inc can be contacted via phone (405) 357-3510, or through Lane, Joel via phone (405) 949-3120.

Contact Information

Primary practice address
7301 Sw 44Th St # F Oklahoma City OK 73179-4308
Phone: (405) 357-3510
Fax: (405) 357-3513
Website:
Map and Directions
Authorized official contact:
Name: Lane, Joel
Phone: (405) 949-3120

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 18106 Oklahoma
Suppliers / Clinic Pharmacy 3336C0002X

Profile Details

NPI number 1811405202
LBN Legal business name Integris Prohealth Inc
DBA Doing business as The Clinic Rx Pharmacy
Authorized official Lane, Joel
Entity Organization
Organization subpart 1 No
Enumeration date Jan 19th, 2018
Last updated Mar 30th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811405202 NPPES
Other 2175308 PK

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