Integris Prohealth Inc is an authorized DME supplier for medicare equipments and products.
Integris Prohealth Inc is a Community/Retail Pharmacy in Oklahoma City, Oklahoma. This organization is also known as sub part of Integris Prohealth Inc. It is located at 4401 S Western Ave Ste 1f181, Oklahoma City and it's customer support contact number is 405-231-0400. The authorized person of Integris Prohealth Inc is Donna M Wallace who is Assistant Treasurer of the pharmacy and his contact number is 636-359-4890. Active license number of Integris Prohealth Inc is 1-6897 for Community/Retail Pharmacy in Oklahoma. Integris Prohealth Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Integris Prohealth Inc 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 Prohealth Inc 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 Prohealth Inc
Type:
Community/Retail Pharmacy
Location:
4401 S Western Ave Ste 1f181, Oklahoma City, Oklahoma, 73109-3413
Phone:
405-231-0400
Fax:
405-815-6445
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:
Donna M Wallace
Position:
Assistant Treasurer
Contact Number:
636-359-4890
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:
1356769509
Parent Organization:
Integris Prohealth Inc
NPI Enumeration Date:
04 Apr, 2014
NPI Last Update On:
21 Aug, 2024
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 Prohealth Inc are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
1-6897
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
2145444
Other
Pk
100710550D
Medicaid
Oklahoma
Medicare Enrollment:
Integris Prohealth Inc 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
O20140811002288
Integris Prohealth Inc
DME SUPPLIER - PHARMACY
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, Oklahoma City, Oklahoma
Zip:
73112-4428
Phone Number:
405-713-7407
Fax Number:
405-815-6445
Patients can reach Integris Prohealth Inc at 4401 S Western Ave Ste 1f181, Oklahoma City, Oklahoma or can call on customer care at 405-231-0400.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.
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