Provider Demographics
NPI:1871352633
Name:C&E APOTHECARY AND WELLNESS INC
Entity type:Organization
Organization Name:C&E APOTHECARY AND WELLNESS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:
Authorized Official - Last Name:ELESIA
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:726-204-7874
Mailing Address - Street 1:13602 WILLIE MELTON BLVD
Mailing Address - Street 2:
Mailing Address - City:KENDLETON
Mailing Address - State:TX
Mailing Address - Zip Code:77451-1400
Mailing Address - Country:US
Mailing Address - Phone:726-204-7874
Mailing Address - Fax:726-204-7875
Practice Address - Street 1:13602 WILLIE MELTON BLVD
Practice Address - Street 2:
Practice Address - City:KENDLETON
Practice Address - State:TX
Practice Address - Zip Code:77451-1400
Practice Address - Country:US
Practice Address - Phone:726-204-7874
Practice Address - Fax:726-204-7875
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-15
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy