Individual
JYOTHI SWAROOP GANDIKOTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
810 HIGHLANDER POINT DR, FLOYDS KNOBS, IN 47119-9470
(812) 923-8829
(812) 923-9753
Mailing address
1016 STONE SPRING WAY, LOUISVILLE, KY 40223-3638
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26022487A
IN
Other
Enumeration date
08/19/2009
Last updated
08/19/2009
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