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Contact Information

BALTRO LLC
124 COONROD AVE
MANNFORD, OK74044-3290
 Phone: 918-865-2164
 Fax: 918-865-7933
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for BALTRO LLC

NPI Number 1730437955
LBN Legal business name BALTRO LLC
Authorized official WILLIE HIGGINS - (OWNER/D.PH.)
Entity Organization
Organization subpart 1 No
Enumeration date 08/20/2012
Last updated 08/20/2012 - About 14 years ago
Identifiers
OK License # 11-6040
OK Other 11-6040 OKLAHOMA STATE BOARD OF PHARMACY RETAIL LICENSE NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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