Center Pharmacy

LBN: Baltro Llc
Center Pharmacy is an health care organization with primary practice located at 124 Coonrod Ave , Mannford OK 74044-3290. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Baltro Llc can be contacted via phone (918) 865-2164, or through Higgins, Willie via phone (918) 245-3791.

Contact Information

Primary practice address
124 Coonrod Ave Mannford OK 74044-3290
Phone: (918) 865-2164
Fax: (918) 865-7933
Website:
Map and Directions
Authorized official contact:
Name: Higgins, Willie
Phone: (918) 245-3791

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 11-6040 Oklahoma
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1306909916
LBN Legal business name Baltro Llc
DBA Doing business as Center Pharmacy
Authorized official Higgins, Willie
Entity Organization
Organization subpart 1 No
Enumeration date Dec 18th, 2006
Last updated Jul 14th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306909916 NPPES
Other 2137411 PK
MEDICAID 200447810A PK

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