Provider Demographics
NPI:1760483317
Name:DUR ENTERPRISE INC
Entity Type:Organization
Organization Name:DUR ENTERPRISE INC
Other - Org Name:WEST VAL CARE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO/PIC
Authorized Official - Prefix:MS
Authorized Official - First Name:IRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:BINDER
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:818-788-2411
Mailing Address - Street 1:5353 BALBOA BLVD STE 109
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91316-2862
Mailing Address - Country:US
Mailing Address - Phone:818-788-2411
Mailing Address - Fax:818-981-4947
Practice Address - Street 1:5353 BALBOA BLVD STE 109
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91316-2862
Practice Address - Country:US
Practice Address - Phone:818-788-2411
Practice Address - Fax:818-981-4947
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-04
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPHY59061OtherBOARD OF PHARMACY
CA5257220001Medicare ID - Type Unspecified
CAPHA442580Medicaid