Individual
DR. JACK LOUIS RECTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
2115 S MAIN ST, GROVE, OK 74344-5327
(918) 786-4491
Mailing address
2115 S MAIN ST, GROVE, OK 74344-5327
(918) 786-4491
(918) 786-2043
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13462
OK
Other
Enumeration date
12/22/2020
Last updated
12/22/2020
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