Pharmacy Details

INTEGRIS PHARMACY 4174 - information as of 5/6/2025 12:17:15 AM

Name
INTEGRIS PHARMACY 4174

Address

1205 HEALTH CENTER PKWY STE 115
YUKON, OK 73099

Comments

Contracts
History

Contracts

Contract Detail	340B ID	Entity Name	Sub Name	Entity Type	Address	Address Cont.	City	State	Begin Date	Term Date	Edit Date
Details	DSH370028	INTEGRIS BAPTIST MEDICAL CENTER		Disproportionate Share Hospital	3300 NW EXPRESSWAY		OKLAHOMA CITY	OK	04/01/2016	11/28/2016	12/12/2016 1:08 PM
Details	DSH370028	INTEGRIS BAPTIST MEDICAL CENTER		Disproportionate Share Hospital	3300 NW EXPRESSWAY		OKLAHOMA CITY	OK	04/01/2023		4/1/2023 12:01 AM
Details	DSH370211	INTEGRIS CANADIAN VALLEY HOSPITAL		Disproportionate Share Hospital	1201 HEALTH CARE PARKWAY		YUKON	OK	04/01/2016	01/01/2020	1/1/2020 12:05 AM
Details	DSH370211	INTEGRIS CANADIAN VALLEY HOSPITAL		Disproportionate Share Hospital	1201 HEALTH CARE PARKWAY		YUKON	OK	04/01/2023		4/1/2023 12:01 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Update		INTEGRIS PHARMACY 4174 1205 HEALTH CENTER PKWY STE 115 YUKON, OK 73099	INTEGRIS PHARMACY 4174 1205 HEALTH CENTER PKWY STE 115 YUKON, OK 73099	10/13/2021 10:55 AM
Addresses	Pharmacy Address	Insert			INTEGRIS PHARMACY 4174 1205 HEALTH CENTER PKWY STE 115 YUKON, OK 73099-6396	10/9/2020 1:25 PM
Addresses	Pharmacy Address	Insert			INTEGRIS PHARMACY 4174 1205 HEALTH CENTER PKWY STE 115 YUKON, OK 73099	9/29/2017 6:44 AM
Details	Comments	Insert				5/8/2015 11:10 AM
Details	Is Deleted	Insert			False	5/8/2015 11:10 AM
Addresses	Pharmacy Address	Insert			INTEGRIS PHARMACY 4174 1205 HEALTH CENTER PKWY STE 115 YUKON, OK 73099	5/8/2015 11:10 AM
Details	Name	Insert			INTEGRIS PHARMACY 4174	5/8/2015 11:10 AM