Jack Justice
NPI #1699772806 in Pauls Valley, Oklahoma
Provider Information
- NPI Number
- 1699772806
- Entity Type
- Organization
- Organization Name
- Jack Justice
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jul 1, 2005
- Last Updated
- Oct 28, 2024
Practice Location
- Address
- 110 A BURR AVE
- City
- Pauls Valley
- State
- Oklahoma
- ZIP Code
- 73075-1220
- Phone
- (405) 238-7391
Authorized Official
- Name
- JULIE JUSTICE
- Title
- AUTHORIZED OFFICIAL
- Phone
- (405) 447-3911
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy - Compounding Pharmacy — Compounding Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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| Legacy Pharmacy, LLC | |
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