340B Drug Pricing Program Database


INTEGRIS PHARMACY 4188 - information as of 4/27/2025 12:58:03 AM


INTEGRIS PHARMACY 4188

5915 W. MEMORIAL RD, STE 110
OKLAHOMA CITY, OK 73142



  • Contracts
  • History
Contracts
Contract Detail340B IDEntity NameSub NameEntity TypeAddressAddress Cont.CityStateBegin DateTerm DateEdit Date
DetailsDSH370004INTEGRIS MIAMI HOSPITAL Disproportionate Share Hospital200 2ND AVE. SW
MIAMIOK01/01/201409/30/201910/4/2019 9:59 AM
DetailsDSH370016INTEGRIS HEALTH ENID HOSPITAL Disproportionate Share Hospital600 S MONROE ST
ENIDOK01/01/2014 7/11/2023 5:25 PM
DetailsDSH370028INTEGRIS BAPTIST MEDICAL CENTER Disproportionate Share Hospital3300 NW EXPRESSWAY
OKLAHOMA CITYOK11/25/201111/28/201612/12/2016 1:08 PM
DetailsDSH370028INTEGRIS BAPTIST MEDICAL CENTER Disproportionate Share Hospital3300 NW EXPRESSWAY
OKLAHOMA CITYOK01/01/2020 1/1/2020 12:05 AM
DetailsDSH370028BINTEGRIS BAPTIST MEDICAL CENTERINTEGRIS CANCER INSTITUTE OF OKLAHOMA (ICIO)Disproportionate Share Hospital5911 WEST MEMORIAL ROAD
OKLAHOMA CITYOK11/25/201111/28/201612/12/2016 1:07 PM
DetailsDSH370106INTEGRIS SOUTH OKLAHOMA CITY HOSPITAL CORPORATION Disproportionate Share Hospital4401 SOUTH WESTERN AVE
OKLAHOMA CITYOK11/25/2011 10/21/2019 9:39 AM
DetailsDSH370113INTEGRIS GROVE HOSPITAL Disproportionate Share Hospital1001 EAST 18TH STREET
GROVEOK01/01/201409/08/20159/9/2015 10:09 AM
DetailsDSH370113INTEGRIS GROVE HOSPITAL Disproportionate Share Hospital1001 EAST 18TH STREET
GROVEOK01/01/201701/01/20201/1/2020 12:05 AM
DetailsDSH370113INTEGRIS GROVE HOSPITAL Disproportionate Share Hospital1001 EAST 18TH STREET
GROVEOK01/04/2022 7/11/2023 5:23 PM
DetailsSCH370113-00INTEGRIS GROVE HOSPITAL Sole Community Hospital1001 EAST 18TH STREET
GROVEOK01/01/202001/01/20221/1/2022 12:01 AM
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
AddressesPharmacy AddressInsert  INTEGRIS PHARMACY 4188 5915 W. MEMORIAL RD, STE 110 OKLAHOMA CITY, OK 731429/29/2017 6:44 AM
AddressesPharmacy AddressUpdate ICIO PROHEALTH PHARMACY 5915 W. MEMORIAL RD, STE 110 OKLAHOMA CITY, OK 73142INTEGRIS PHARMACY 4188 5915 W. MEMORIAL RD, STE 110 OKLAHOMA CITY, OK 7314210/20/2014 11:16 AM
DetailsNameUpdate ICIO PROHEALTH PHARMACYINTEGRIS PHARMACY 418810/20/2014 11:16 AM
AddressesPharmacy AddressUpdate ICIO ProHealth Pharmacy 5915 W. Memorial Road Suite 110 Oklahoma city, OK 73142-2015ICIO PROHEALTH PHARMACY 5915 W. MEMORIAL RD, STE 110 OKLAHOMA CITY, OK 731423/28/2013 4:24 PM
DetailsNameUpdate ICIO ProHealth PharmacyICIO PROHEALTH PHARMACY3/28/2013 4:24 PM
DetailsCommentsInsert   11/1/2011 1:31 PM
DetailsIs DeletedInsert  False11/1/2011 1:31 PM
AddressesPharmacy AddressInsert  ICIO ProHealth Pharmacy 5915 W. Memorial Road Suite 110 Oklahoma city, OK 73142-201511/1/2011 1:31 PM
DetailsNameInsert  ICIO ProHealth Pharmacy11/1/2011 1:31 PM