Provider Demographics
NPI:1831670272
Name:SCHOMER, JOSIAH P (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JOSIAH
Middle Name:P
Last Name:SCHOMER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:213 E MAIN ST STE 100
Mailing Address - Street 2:
Mailing Address - City:CALERA
Mailing Address - State:OK
Mailing Address - Zip Code:74730-2116
Mailing Address - Country:US
Mailing Address - Phone:580-448-2315
Mailing Address - Fax:580-980-3015
Practice Address - Street 1:213 E MAIN ST
Practice Address - Street 2:
Practice Address - City:CALERA
Practice Address - State:OK
Practice Address - Zip Code:74730-2115
Practice Address - Country:US
Practice Address - Phone:580-920-5693
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-23
Last Update Date:2020-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK14954183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK14954OtherOKLAHOMA STATE BOARD OF PHARMACY