Integris Pharmacy 4174 is an authorized DME supplier for medicare equipments and products.
Integris Pharmacy 4174 is a Community/Retail Pharmacy in Yukon, Oklahoma. This pharmacy is owned and operated by Integris Prohealth Inc. It is located at 1205 Health Center Pkwy Ste 115, Yukon and it's customer support contact number is 405-717-5330. The authorized person of Integris Pharmacy 4174 is Joel Lane who is Director Of Pharmacy of the pharmacy and his contact number is 405-949-3120. Active license number of Integris Pharmacy 4174 is 26-7197 for Community/Retail Pharmacy in Oklahoma. Integris Pharmacy 4174 accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Integris Pharmacy 4174 is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Integris Pharmacy 4174 type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Integris Pharmacy 4174
Type:
Community/Retail Pharmacy
Location:
1205 Health Center Pkwy Ste 115, Yukon, Oklahoma, 73099-6396
Phone:
405-717-5330
Fax:
405-717-5311
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Joel Lane
Position:
Director Of Pharmacy
Contact Number:
405-949-3120
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1952796682
NPI Enumeration Date:
31 Mar, 2015
NPI Last Update On:
03 Mar, 2016
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Integris Pharmacy 4174 are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
26-7197
Oklahoma
Primary
Pharmacy
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
2150930
Other
Pk
Medicare Enrollment:
Integris Pharmacy 4174 is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID:
Enrollment ID:
Org Name
Medicare Entity Type
5092792127
O20150720001626
Integris Prohealth Inc
DME SUPPLIER - PHARMACY
5092792127
O20150903002048
Integris Prohealth Inc
PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY)
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
3435 Nw 56th St Ste 301a, Suite 301a Oklahoma City, Oklahoma
Zip:
73112-4448
Phone Number:
405-949-3120
Fax Number:
405-815-6445
Patients can reach Integris Pharmacy 4174 at 1205 Health Center Pkwy Ste 115, Yukon, Oklahoma or can call on customer care at 405-717-5330.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
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