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Search › Oklahoma › 183500000X

Jack Justice, DPH

NPI 1023189388 · on the registry since 2006 · sole proprietor

Practice

Address
110 Burr Ave
Pauls Valley, OK 73075
Phone
(405) 238-7391
Fax
(405) 238-1162
Organisation at this address
Jack Justice
Healthcare Pharmacy Of Oklahoma Inc
Southern Oklahoma Mental Health And Institutional Pharmacy
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma