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Organization

AUTARCH MEDICINAL SERVICES, PLLC

Active
Other names
Gallipot Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSIAH P SCHOMER PHARMD (MEMBER)
(580) 448-2315
Entity
Organization

Contact information

Practice address
213 E MAIN ST STE 100, CALERA, OK 74730-2116
(580) 448-2315
(580) 980-3015
Mailing address
213 E MAIN ST STE 100, CALERA, OK 74730-2116
(580) 448-2315
(580) 980-3015

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
3336C0003X
Community/Retail Pharmacy
Primary
27-8253
OK
3336C0004X
Compounding Pharmacy
3336L0003X
Long Term Care Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200803670A
OK
05
200803670B
OK
01
27-8253
OKLAHOMA STATE BOARD OF PHARMACY
OK
05
582115
TX
Enumeration date
08/23/2018
Last updated
03/12/2025
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