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 not a DME supplier for medicare equipments and products.
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.
| Specialization | License Number | State | Status | |
| Non-pharmacy Dispensing Site | 20A8138 | 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: | -- |
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.