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Jyothi Swaroop
Jyothi swaroop
Gandikota
Pharmacist
Ponte Vedra Beach, United States
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Florida Health Care Practitioner Data Portal
Full name
JYOTHI SWAROOP GANDIKOTA
Job Title
Pharmacist
Location
Ponte Vedra
LIC ID
55420
Current License Expiration Date
30/09/2025
Original Date
15/06/2021
Professional Rank Code
PS
Effective Date
15/06/2021
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
ST.JOHNS
Practice Location Address Line 1
WALGREENS PHARMACY # 12579
Practice Location Address Line 2
116 Blackford Way
Practice Location Address City
ST AUGUSTINE
Practice Location Address State
FL
Practice Location Address Zipcode
32086
Mode Code
Certified To Administer Immunizations, Test and Treat Certification
Prescribing Indicator
N
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