Jeffrey Ryan Bennett Valid NPI

Individual provider · Community/Retail Pharmacy · Stockton, CA

NPI

1205642592

Type

Individual (Type 1)

Primary specialty

Community/Retail Pharmacy (Pharmacy)

Specialty group

Suppliers

Taxonomy code

3336C0003X

License number

PHY59418 (CA)

Sex

Male

Sole proprietor

Yes

Enumerated

2024-12-10

Last updated

2025-07-22