340B Drug Pricing Program Database
GALLIPOT PHARMACY - information as of 6/9/2025 11:28:58 PM
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Name
GALLIPOT PHARMACY
Address
AUTARCH MEDICINAL SERVICES, PLLC
213 E MAIN ST STE 100
CALERA, OK 74730
Comments
Contracts
History
Contracts
Contract Detail
340B ID
Entity Name
Sub Name
Entity Type
Address
Address Cont.
City
State
Begin Date
Term Date
Edit Date
Details
CHC06453-00
PUSHMATAHA FAMILY MEDICAL CENTER INC.
PUSHMATAHA FAMILY MEDICAL CENTER
HRSA-Funded Health Center
1020 North Lawson Blvd
CLAYTON
OK
07/01/2020
05/25/2022
1/13/2023 1:19 PM
History
Section
Field
Action
Activity
Value Before
Value After
Timestamp
Details
Comments
Insert
10/17/2018 7:01 AM
Details
Is Deleted
Insert
False
10/17/2018 7:01 AM
Addresses
Pharmacy Address
Insert
GALLIPOT PHARMACY AUTARCH MEDICINAL SERVICES, PLLC 213 E MAIN ST STE 100 CALERA, OK 74730
10/17/2018 7:01 AM
Details
Name
Insert
GALLIPOT PHARMACY
10/17/2018 7:01 AM
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