Eric R. Hansen, D.o., Professional Corporation

Non-pharmacy Dispensing Site



  
  15888 Main St, 112b, Hesperia
California, 92345-3452

 760-947-0727   
Eric R. Hansen, D.o., Professional Corporation is a Non-pharmacy Dispensing Site in Hesperia, California. This organization is also known as sub part of Medvantx, Inc. It is located at 15888 Main St, 112b, Hesperia and it's customer support contact number is 760-947-0727. The authorized person of Eric R. Hansen, D.o., Professional Corporation is Kenny Heine who is Director Of Operations of the pharmacy and his contact number is 858-625-2990. Active license number of Eric R. Hansen, D.o., Professional Corporation is 20A8138 for Non-pharmacy Dispensing Site in California.
Eric R. Hansen, D.o., Professional Corporation 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:
Eric R. Hansen, D.o., Professional Corporation 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: Eric R. Hansen, D.o., Professional Corporation
Type: Non-pharmacy Dispensing Site
Location:15888 Main St, 112b, Hesperia,
California, 92345-3452
Phone:760-947-0727
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: Director 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: 1801937479
Parent Organization: Medvantx, Inc
NPI Enumeration Date: 08 Feb, 2007
NPI Last Update On: 17 Oct, 2012

Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Eric R. Hansen, D.o., Professional Corporation are as mentioned below.
SpecializationLicense NumberStateStatus
Non-pharmacy Dispensing Site 20A8138CaliforniaPrimary
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: --
Patients can reach Eric R. Hansen, D.o., Professional Corporation at 15888 Main St, 112b, Hesperia, California or can call on customer care at 760-947-0727.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.