| NPI | 1952796682 |
|---|---|
| Doing Business As | INTEGRIS PHARMACY 4174 |
| Entity Type | Organization |
| Authorized Contact | JOEL LANE Director Of Pharmacy 405-949-3120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OK 26-7197) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2016-03-03 |