Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jeffrey Ryan Bennett

Individual provider Community/Retail Pharmacy · NPI 1205642592

Jeffrey Ryan Bennett is a Community/Retail Pharmacy in Stockton, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024
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Practice location Address checks out

2005 S Mariposa Rd
Stockton, CA 95205
Phone: (209) 464-7722
Fax: (209) 464-3780
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence PHY59418 (CA)

Record details

NPI number1205642592
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 10, 2024
Last updated in NPPESJuly 22, 2025
Certification dateJuly 22, 2025
Mailing address2005 S Mariposa Rd, Stockton, CA 95205

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