Jack Justice
Community/Retail Pharmacy
110 A Burr Ave, Pauls Valley
Oklahoma, 73075-1220
405-238-7391 405-238-7357
Jack Justice is a Community/Retail Pharmacy in Pauls Valley, Oklahoma. It is located at 110 A Burr Ave, Pauls Valley and it's customer support contact number is 405-238-7391. The authorized person of Jack Justice is Julie Justice who is Authorized Official of the pharmacy and his contact number is 405-447-3911. Active license number of Jack Justice is 22-3755 for Community/Retail Pharmacy in Oklahoma. Jack Justice accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Jack Justice 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.
Pharmacy Details:
Jack Justice type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Jack Justice |
| Type: | Community/Retail Pharmacy |
| Location: | 110 A Burr Ave, Pauls Valley,
Oklahoma, 73075-1220 |
| Phone: | 405-238-7391 |
| Fax: | 405-238-7357 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Julie Justice |
| Position: | Authorized Official |
| Contact Number: | 405-447-3911 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1699772806 |
| NPI Enumeration Date: | 01 Jul, 2005 |
| NPI Last Update On: | 28 Oct, 2024 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jack Justice are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 22-3755 | Oklahoma | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
| Compounding Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2073053 | Other | | Pk |
| 100235750A | Medicaid | Oklahoma | |
Medicare Enrollment:
Jack Justice is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 9739181348 | O20070212000321 | Jack Justice | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Products Available:
Jack Justice has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Canes & Crutches |
| • Commodes, Urinals, & Bedpans | • Continuous Passive Motion (cpm) Devices |
| • Cpap, Rads, & Related Supplies & Accessories | • Dynamic Splints |
| • Enteral Equipment And/or Supplies | • Enteral Nutrients |
| • Hospital Beds: Electric | • Hospital Beds: Manual |
| • Infusion Pumps & Supplies: External Infusion | • Infusion Pumps & Supplies: Insulin Infusion |
| • Nebulizer Equipment & Supplies | • Neurostimulators |
| • Orthoses: Off-the-shelf | • Ostomy Supplies |
| • Oxygen Equipment & Supplies | • Patient Lifts |
| • Pneumatic Compression Devices | • Power Operated Vehicles (scooters) |
| • Seat Lift Mechanisms | • Support Surfaces: Pressure Reducing Beds, Mattresses, Overlays, & Pads |
| • Surgical Dressings | • Tracheostomy Supplies |
| • Transcutaneous Electrical Nerve Stimulators (tens) Units | • Ultraviolet Light Devices |
| • Urological Supplies | • Walkers |
| • Wheelchair Seating/cushions | • Wheelchairs & Accessories: Standard Manual |
| • Wheelchairs & Accessories: Standard Power | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 1220,
Pauls Valley, Oklahoma |
| Zip: | 73075-2020 |
| Phone Number: | 405-238-7391 |
| Fax Number: | 405-238-1162 |
Patients can reach Jack Justice at
110 A Burr Ave, Pauls Valley, Oklahoma or can
call on customer care at 405-238-7391.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.