| NPI | 1588992861 |
|---|---|
| Doing Business As | INTEGRIS PHARMACY 4188 |
| Entity Type | Organization |
| Authorized Contact | DONNA M WALLACE Assistant Treasurer 636-359-4890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OK 1-6900) |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| Enumeration Date | 2009-11-25 |
| Last Update Date | 2024-05-06 |