Provider Demographics
NPI:1902277296
Name:ENDURING PROVISIONS LLC
Entity Type:Organization
Organization Name:ENDURING PROVISIONS LLC
Other - Org Name:PRIZE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TAMIRA
Authorized Official - Middle Name:A
Authorized Official - Last Name:PIERSON
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:832-722-8356
Mailing Address - Street 1:14706 JULIE MEADOWS LN
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77396-4568
Mailing Address - Country:US
Mailing Address - Phone:832-722-8356
Mailing Address - Fax:832-201-0774
Practice Address - Street 1:9761 FM 1960 BYPASS RD W
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-4067
Practice Address - Country:US
Practice Address - Phone:281-973-8683
Practice Address - Fax:281-973-8359
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-12
Last Update Date:2015-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX30257333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy