Jack Justice in Pauls Valley - Long Term Care Pharmacy
Jack Justice - NPI 1699772806
Jack Justice is a Long Term Care Pharmacy in Pauls Valley, Oklahoma. Jack Justice practices all healthcare services and medical treatments related to Long Term Care Pharmacy. The NPI Number for Jack Justice is 1699772806. The last update date is 2021-11-17.
Jack Justice's current location address is Po Box 1220, Pauls Valley, Oklahoma. You can contact this provider via phone number 4052387391 and fax number 4052381162. The mailing address for Jack Justice is Po Box 1220, Pauls Valley, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jack Justice |
|---|---|
| Address | Po Box 1220, Pauls Valley, Oklahoma |
| Phone Number | 4052387391 |
| Fax Number | 4052381162 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | AUTHORIZED |
|---|---|
| Authorized Official Name | Justice Julie |
| Telephone Number | 4054473911 |
NPI Number Detail
| NPI Number | 1699772806 |
|---|---|
| Provider Enumeration Date | 2005-07-01 |
| Last Updated Date | 2021-11-17 |
Provider Mailing Address Detail
| Address | Po Box 1220 |
|---|---|
| City | Pauls Valley |
| State | Oklahoma (OK) |
| Post Code | 730752020 |
| Phone Number | 4052387391 |
| Fax Number | 4052381162 |
Provider's Primary Taxonomy Detail
| Speciality | Long Term Care Pharmacy |
|---|---|
| Taxonomy | 3336L0003X |
|
Definition: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregat |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100235750A | OK | -- | |
| 2073053 | PK |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jack Justice?
The Jack Justice has been issued the NPI (National Provider Identifier) 1699772806 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Jack Justice?
The Jack Justice is physically situated at Po Box 1220, in the city of Pauls Valley, state of OK, with the postal code 730752020.
What is Jack Justice's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jack Justice is Long Term Care Pharmacy, and the taxonomy code that classifies this field of practice is 3336L0003X.
When did Jack Justice receive its 1699772806 assignment?
The Jack Justice was assigned its 1699772806 on 2005-07-01, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Jack Justice last refreshed?
The information related to the Jack Justice, including its address, specialty, and other relevant details, was last updated on 2021-11-17.