Provider Demographics
NPI:1144432485
Name:DURU, VALENTINE C (RPH)
Entity type:Individual
Prefix:
First Name:VALENTINE
Middle Name:C
Last Name:DURU
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3310 FORT BLVD
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79930-4710
Mailing Address - Country:US
Mailing Address - Phone:915-564-5451
Mailing Address - Fax:915-564-5813
Practice Address - Street 1:3310 FORT BLVD
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79930-4710
Practice Address - Country:US
Practice Address - Phone:915-564-5451
Practice Address - Fax:915-564-5813
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX30452183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist