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NPI 1306909916

OrganizationActive

Baltro LLC

NPI 1306909916 · Community/Retail Pharmacy · Mannford, OK

Provider details

NPI number: 1306909916
Entity type: Organization
Primary specialty: Community/Retail PharmacySuppliers
Authorized official: Willie Higgins, Owner/Pharmacist

Practice location

124 Coonrod Ave

Mannford, OK 74044-3290

Phone: (918) 865-2164

Fax: (918) 865-7933

More OK providers

Mailing address

5828 S 170th West Ave

Sand Springs, OK 74063-2312

Registry dates

Enumerated: 2006-12-18
Last updated: 2015-07-14

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Baltro LLC — NPI 1306909916, Mannford, OK | NPI Central