| NPI | 1760905228 |
|---|---|
| Doing Business As | INTEGRIS PHARMACY 4172 |
| Entity Type | Organization |
| Authorized Contact | DONNA WALLACE Assistant Treasurer 636-359-4890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OK 7-7962) |
| Enumeration Date | 2017-07-17 |
| Last Update Date | 2024-04-01 |