Healthcare Provider Details

I. General information

NPI: 1184367609
Provider Name (Legal Business Name): C&E APOTHECARY AND WELLNESS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2022
Last Update Date: 01/12/2023
Certification Date: 01/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13602 WILLIE MELTON BLVD
KENDLETON TX
77451-1400
US

IV. Provider business mailing address

1108 RIO VISTA DR
DESOTO TX
75115-7220
US

V. Phone/Fax

Practice location:
  • Phone: 832-715-4977
  • Fax:
Mailing address:
  • Phone: 832-715-4977
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: FRANCIS ELESIA
Title or Position: PHARMACY MANAGER
Credential: PHARMACIST
Phone: 832-715-4977