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Johnson
Johnson
Manoharan
Pharmacist
Lutz, United States
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Florida Health Care Practitioner Data Portal
Full name
JOHNSON MANOHARAN
Job Title
Pharmacist
Location
Lutz, FL, USA
LIC ID
53769
Current License Expiration Date
30/09/2025
Original Date
15/08/2019
Professional Rank Code
PS
Effective Date
15/08/2019
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
HILLSBOROUGH
Mailing Address Line 2
Apt 4102
Practice Location Address Line 1
2163 W County Road 48
Practice Location Address City
BUSHNELL
Practice Location Address State
FL
Practice Location Address Zipcode
33513
Mode Code
Certified To Administer Immunizations, Test and Treat Certification
Prescribing Indicator
N
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