Integris Pharmacy 4174

LBN: Integris Prohealth Inc
Integris Pharmacy 4174 is an health care organization with primary practice located at 1205 Health Center Pkwy Ste 115 , Yukon OK 73099-6396. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Integris Prohealth Inc can be contacted via phone (405) 717-5330, or through Lane, Joel via phone (405) 949-3120.

Contact Information

Primary practice address
1205 Health Center Pkwy Ste 115 Yukon OK 73099-6396
Phone: (405) 717-5330
Fax: (405) 717-5311
Website:
Map and Directions
Authorized official contact:
Name: Lane, Joel
Phone: (405) 949-3120

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 26-7197 Oklahoma

Profile Details

NPI number 1952796682
LBN Legal business name Integris Prohealth Inc
DBA Doing business as Integris Pharmacy 4174
Authorized official Lane, Joel
Entity Organization
Organization subpart 1 No
Enumeration date Mar 31st, 2015
Last updated Mar 3rd, 2016 - about 8 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 1952796682 NPPES
Other 2150930 PK

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