Individual provider · Type 1 NPI

Jack Lee Justice, DPH

Pharmacist · Pauls Valley, OK

NPI number 1023189388 Active

Practice location

110 Burr Ave
Pauls Valley, OK 73075-3848

Fax (405) 238-1162

Specialties and licenses

Taxonomy	Code	License
Pharmacist Primary	183500000X	8244 (OK)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1023189388

Jack Lee Justice, DPH's National Provider Identifier is 1023189388, issued on Nov 10, 2006. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Pauls Valley, OK. The record was last updated on Jul 8, 2007.