MR. Jack Lee Justice, DPH
NPI #1023189388 in Pauls Valley, Oklahoma
Provider Information
- NPI Number
- 1023189388
- Entity Type
- Individual
- Name
- MR. Jack Lee Justice, DPH
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Credential
- DPH
- Enumeration Date
- Nov 10, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 110 BURR AVE
- City
- Pauls Valley
- State
- Oklahoma
- ZIP Code
- 73075-3848
- Phone
- (405) 238-7391
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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