Jack Justice
Jack Justice is a Durable Medical Equipment & Medical Supplies in Pauls Valley, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2005.
- Licensed in
- OK
- In the registry since
- 2005
- Specialties on file
- 3
Practice location Address checks out
110 A Burr AvePauls Valley, OK 73075-1220
Phone: (405) 238-7391
Fax: (405) 238-7357
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Retail Pharmacy (primary) | Taxonomy 3336C0003X · Licence 22-3755 (OK) |
|---|---|
| Durable Medical Equipment & Medical Supplies | Taxonomy 332B00000X |
| Compounding Pharmacy | Taxonomy 3336C0004X |
Record details
| NPI number | 1699772806 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Julie Justice — Authorized Official · (405) 447-3911 |
| Other names | Reavis Super Drug |
| NPI enumerated | July 1, 2005 |
| Last updated in NPPES | October 28, 2024 |
| Certification date | October 28, 2024 |
| Mailing address | Po Box 1220, Pauls Valley, OK 73075-2020 |
Other providers in Pauls Valley
-
Jack Justice
110 Burr Ave, Pauls Valley, OK 73075-3848 · (405) 238-7391
-
Wal-Mart Stores East LP
2008 W Grant Ave, Pauls Valley, OK 73075-9230 · (405) 238-7525