Southern Oklahoma Mental Health and Institutional Pharmacy
NPI #1972674141 in Pauls Valley, Oklahoma
Provider Information
- NPI Number
- 1972674141
- Entity Type
- Organization
- Organization Name
- Southern Oklahoma Mental Health and Institutional Pharmacy
- Primary Specialty
- Pharmacy - Specialty Pharmacy
- Enumeration Date
- Nov 10, 2006
- Last Updated
- Sep 11, 2025
Practice Location
- Address
- 110 BURR AVE
- City
- Pauls Valley
- State
- Oklahoma
- ZIP Code
- 73075-3848
- Phone
- (405) 238-7391
Authorized Official
- Name
- MR. JACK LEE JUSTICE, DPH
- Title
- OWNER
- Phone
- (405) 238-7391
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
| Pharmacy - Mail Order Pharmacy — Mail Order Pharmacy |
| Pharmacy - Specialty Pharmacy — Specialty Pharmacy |
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