Ron Jennison

NPI #1013902113 in Modesto, California

Provider Information

NPI Number: 1013902113
Entity Type: Organization
Organization Name: Ron Jennison
Primary Specialty: Pharmacist
Enumeration Date: Sep 14, 2005
Last Updated: Jul 21, 2022

Practice Location

Address: 1401 SPANOS CT
Address 2: STE 105
City: Modesto
State: California
ZIP Code: 95355-2810
Phone: (209) 525-3141

Authorized Official

Name: MR. RONALD JENNISON
Title: OWNER PHARMACIST
Phone: (209) 525-3141

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Pharmacist	183500000X	Primary

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