Organization
ODR PHARMACY LLC
Active
Other names
Farmacia La 65
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUIS A ORTIZ RIVERA (OWNER/GENERAL MANAGER)
(939) 325-4963
Entity
Organization
Contact information
Practice address
URB. AMERICA CALLE BARRANQUITAS #520, INTERSECCION MARGINAL, CARR. ESTATAL 181, SAN JUAN, PR 00928
(939) 325-4963
Mailing address
ESTANCIAS DEL REY, APARTMENT 612, CAGUAS, PR 00725
(939) 325-4963
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
06/24/2021
Last updated
01/03/2022
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