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JACK JUSTICE NPI 1881769487


NPI Information

NPI: 1881769487
Provider Name: JACK JUSTICE

Doing Business As: JACK'S RX

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
500 WILLIAMS
MAYSVILLE, OK
ZIP 73057
Phone: (405) 867-4427
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JACK JUSTICE is a community/retail pharmacy pharmacy in Maysville, OK. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. JACK JUSTICE NPI is 1881769487. The provider is registered as an organization entity type.
The provider Is Doing Business As Jack's Rx.

The provider's business location address is:

500 WILLIAMS
MAYSVILLE, OK
ZIP 73057-679
Phone: (405) 867-4427
Fax: (405) 867-5267

The provider's authorized official is Julie Justice .
The authorized official title is Authorized Official and has the following contact phone number (405) 447-3911.

The enumeration date for this NPI number is 11/21/2006 and was last updated on 2/5/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy22-4098OKLAHOMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1100235750DMEDICAIDOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.