| NPI | 1679614531 |
|---|---|
| Doing Business As | INTEGRIS PHARMACY 4185 |
| Entity Type | Organization |
| Authorized Contact | DONNA M WALLACE Assistant Treasurer 636-359-4890 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OK 16898) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2024-04-01 |