Baltro Llc

NPI 1306909916 - Pharmacy - 3336C0003X

NPI Details
NPI 1306909916
Enumeration Date 12/18/2006
Last Updated 07/14/2015
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name WILLIE WILLIE
Position OWNER/PHARMACIST
Phone (918) 865-2164
Fax (918) 865-7933
Practice Location
124 COONROD AVE
MANNFORD OK, 74044-3290, US
Phone (918) 865-2164
Fax (918) 865-7933
Business Location
5828 S 170TH WEST AVE
SAND SPRINGS OK, 74063-2312, US
Phone (918) 245-3791
Fax (918) 245-3791
Toxanomy
Taxonomy Code 3336C0003X
License State Oklahoma
License Number 11-6040
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According to our database, Baltro Llc NPI is 1306909916, taxonomy code is 3336C0003X and license number is 11-6040, license state is located at Oklahoma. Baltro Llc physically located at 124 Coonrod Ave, Mannford OK, 74044-3290. NPI Number 1033115704 has the healthcare provider type.

1306909916 NPI number is provided on an as is basis without warranty of any kind. 1306909916 is maintained by the National Plan & Provider Enumeration System. The contents of Baltro Llc are for informational purposes only.