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Heritage Victor Valley Medical Group
Non-Pharmacy Dispensing Site in Victorville, California
NPI 1649506759

Heritage Victor Valley Medical Group is a Non-Pharmacy Dispensing Site based in San Diego, CA. Heritage Victor Valley Medical Group practices in Victorville, CA. The NPI Number for Heritage Victor Valley Medical Group is 1649506759 and holds a License No. 54968 (California).

The current practice location address for Heritage Victor Valley Medical Group is 12408 Hesperia Rd, Victorville, CA and can be reached out via phone at 760-245-4747.

Location: 12408 Hesperia Rd, Victorville, CA, 92121-7701
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1649506759
Provider Name
Heritage Victor Valley Medical Group
Credential
Provider Entity Type
Organization
Address
12408 Hesperia Rd, Victorville, CA, 92121-7701
Phone Number
760-245-4747
Fax Number
Provider Enumeration Date
10/23/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12408 Hesperia Rd
City
Victorville
State
California
Zip
92395-7718
Phone Number
760-245-4747
Fax Number
person
Provider Business Mailing Address Details
Address
12408 Hesperia Rd
City
Victorville
State
California
Zip
92395-7718
Phone Number
760-245-4747
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Non-Pharmacy Dispensing Site
Speciality
-
Taxonomy
332900000X
License No.
54968 (California)
Definition
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.)
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