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Organization
RON JENNISON
Active
Organization
RON JENNISON
Active
Other names
Valu-Rite Medical Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD JENNISON (OWNER PHARMACIST)
(209) 525-3141
Entity
Organization
Contact information
Practice address
1401 SPANOS CT, STE 105, MODESTO, CA 95355-2810
(209) 525-3141
(209) 571-9538
Mailing address
1401 SPANOS CT, STE 105, MODESTO, CA 95355-2810
(209) 525-3141
(209) 571-9538
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
CA
332B00000X
Durable Medical Equipment & Medical Supplies
0859760001
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA433230
—
CA
Enumeration date
09/14/2005
Last updated
07/21/2022
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