Organization · Type 2 NPI

Jack Justice

Community/Retail Pharmacy · Pauls Valley, OK

NPI number 1699772806 Active

Practice location

110 A Burr Ave
Pauls Valley, OK 73075-1220

Fax (405) 238-7357

Mailing address

PO Box 1220
Pauls Valley, OK 73075-2020

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies 332B00000XNone listed
Community/Retail Pharmacy Primary 3336C0003X22-3755 (OK)
Compounding Pharmacy 3336C0004XNone listed

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

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About NPI 1699772806

Jack Justice's National Provider Identifier is 1699772806, issued on Jul 1, 2005. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Pauls Valley, OK. The record was last updated on Oct 28, 2024.