Beaver Medical Group Lp is not a DME supplier for medicare equipments and products.
Beaver Medical Group Lp is a Non-pharmacy Dispensing Site in Colton, California. This organization is also known as sub part of Medvantx, Inc.. It is located at 1300 E Cooley Dr, Colton and it's customer support contact number is 909-270-4179. The authorized person of Beaver Medical Group Lp is Kenny Heine who is Vp Of Operations of the pharmacy and his contact number is 858-625-2990. Active license number of Beaver Medical Group Lp is G58149 for Non-pharmacy Dispensing Site in California. Beaver Medical Group Lp is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Pharmacy Details:
Beaver Medical Group Lp type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Beaver Medical Group Lp
Type:
Non-pharmacy Dispensing Site
Location:
1300 E Cooley Dr, Colton, California, 92324-3905
Phone:
909-270-4179
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Kenny Heine
Position:
Vp Of Operations
Contact Number:
858-625-2990
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1831377662
Parent Organization:
Medvantx, Inc.
NPI Enumeration Date:
04 Feb, 2008
NPI Last Update On:
25 Apr, 2013
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Beaver Medical Group Lp are as mentioned below.
Specialization
License Number
State
Status
Non-pharmacy Dispensing Site
G58149
California
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
5626 Oberlin Dr, Suite 110 San Diego, California
Zip:
92121-1705
Phone Number:
--
Fax Number:
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Patients can reach Beaver Medical Group Lp at 1300 E Cooley Dr, Colton, California or can call on customer care at 909-270-4179.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.
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