Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Integris Prohealth Inc

Organization Pharmacy · NPI 1356769509

Integris Prohealth Inc is a Pharmacy in Oklahoma City, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2014.

Licensed in
OK
In the registry since
2014
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4401 S Western Ave Ste 1F181
Oklahoma City, OK 73109-3413
Phone: (405) 231-0400
Fax: (405) 815-6445
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 1-6897 (OK)
Pharmacy Taxonomy 333600000X

Record details

NPI number1356769509
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationIntegris Prohealth Inc
Authorized official Michael Weed — Treasurer · (405) 951-2737
Other names Integris Pharmacy 4177
NPI enumeratedApril 4, 2014
Last updated in NPPESNovember 6, 2025
Certification dateNovember 6, 2025
Mailing address3435 Nw 56th St Ste 301a, Oklahoma City, OK 73112-4428

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