Provider Demographics
NPI:1932840725
Name:CROWNED Z INVESTMENTS, LLC
Entity Type:Organization
Organization Name:CROWNED Z INVESTMENTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING OFFICER
Authorized Official - Prefix:MISS
Authorized Official - First Name:ROQUINETHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:A JORDAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-208-6779
Mailing Address - Street 1:401 W FAIRMONT PKWY STE C
Mailing Address - Street 2:
Mailing Address - City:LA PORTE
Mailing Address - State:TX
Mailing Address - Zip Code:77571-6314
Mailing Address - Country:US
Mailing Address - Phone:346-222-7939
Mailing Address - Fax:346-222-7940
Practice Address - Street 1:401 W FAIRMONT PKWY STE C
Practice Address - Street 2:
Practice Address - City:LA PORTE
Practice Address - State:TX
Practice Address - Zip Code:77571-6314
Practice Address - Country:US
Practice Address - Phone:346-222-7939
Practice Address - Fax:346-222-7940
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-05
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy