Organization · Type 2 NPI

Integris Baptist Medical Center Inc

Pharmacy · Oklahoma City, OK

NPI number 1619721784 Active

Practice location

5501 N Portland Ave
Oklahoma City, OK 73112-2074

Call (405) 604-6000 Map

Mailing address

PO Box 200757
Dallas, TX 75320-0757

Specialties and licenses

Taxonomy	Code	License
Pharmacy Primary	333600000X	None listed
Institutional Pharmacy	3336I0012X	None listed

Pharmacy: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is lo…

58 other providers at this address

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NPI record

NPI: 1619721784
Entity type: Organization (Type 2)
Issued: Apr 15, 2024
Last updated: Apr 15, 2024
Status: Active
Subpart: Yes of Integris Baptist Medical Center Inc

Other names

Integris Health Portland Ave Pharmacy · doing business as

Authorized official

Donna M Wallace
Assistant Treasurer
(636) 359-4890

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1619721784

Integris Baptist Medical Center Inc's National Provider Identifier is 1619721784, issued on Apr 15, 2024. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Oklahoma City, OK. The record was last updated on Apr 15, 2024.