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

Mr. Jack Lee Justice, DPH

Individual provider Pharmacist · NPI 1023189388

Mr. Jack Lee Justice, DPH is a Pharmacist in Pauls Valley, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2006

Practice location Address checks out

110 Burr Ave
Pauls Valley, OK 73075-3848
Phone: (405) 238-7391
Fax: (405) 238-1162
Show map & directions

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

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 8244 (OK)

Record details

NPI number1023189388
Entity typeIndividual (Type 1)
GenderMale
Credentials DPH
Sole proprietorYes
NPI enumeratedNovember 10, 2006
Last updated in NPPESJuly 8, 2007

Other providers in Pauls Valley