NPI 1013074111
Jack Justice
Practice location
- Address
- 110 Burr Ave, Pauls Valley, OK 73075-3848
- Phone
- (405) 238-7391
- Fax
- (405) 238-1162
Authorised official
- Name
- Jack Lee Justice
- Title
- Owner Pharmacist
- Phone
- (405) 238-7391
Registered specialties (3)
Oxygen Equipment & Supplies (DME)
Primary
Durable Medical Equipment & Medical Supplies
Parenteral & Enteral Nutrition Supplies (DME)
Registry record
- NPI
- 1013074111
- Entity type
- Organization
- NPI issued
- 2 Jan 2007
- Record last updated
- 11 Sep 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.