Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southern Oklahoma Mental Health and Institutional Pharmacy

Organization Long Term Care Pharmacy · NPI 1972674141

Southern Oklahoma Mental Health and Institutional Pharmacy is a Long Term Care Pharmacy in Pauls Valley, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2006.

Licensed in
OK
In the registry since
2006
Specialties on file
3

Practice location Address checks out

110 Burr Ave
Pauls Valley, OK 73075-3848
Phone: (405) 238-7391
Fax: (405) 238-7357
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialty Pharmacy (primary) Taxonomy 3336S0011X · Licence 225038 (OK)
Long Term Care Pharmacy Taxonomy 3336L0003X · Licence 225038 (OK)
Mail Order Pharmacy Taxonomy 3336M0002X · Licence 225038 (OK)

Record details

NPI number1972674141
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jack Justice — Owner · (405) 238-7391
Other names Healthcare Pharmacy Of Oklahoma
NPI enumeratedNovember 10, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address110 Burr Ave, Pauls Valley, OK 73075-3848

Other providers in Pauls Valley