# ODR PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Farmacia La 65
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447829221
- **Authorized official:** MR. LUIS A ORTIZ RIVERA (OWNER/GENERAL MANAGER)
- **Authorized official phone:** (939) 325-4963

## Contact information

- **Practice address:** URB. AMERICA CALLE BARRANQUITAS \#520, INTERSECCION MARGINAL, CARR. ESTATAL 181, SAN JUAN, PR 00928
- **Practice address phone:** (939) 325-4963
- **Mailing address:** ESTANCIAS DEL REY, APARTMENT 612, CAGUAS, PR 00725
- **Mailing address phone:** (939) 325-4963

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 06/24/2021
- **Last updated:** 01/03/2022