Provider Demographics
NPI:1790035665
Name:ELESIA, FRANCIS (PHARMD)
Entity Type:Individual
Prefix:
First Name:FRANCIS
Middle Name:
Last Name:ELESIA
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 N BLUEGROVE RD
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:TX
Mailing Address - Zip Code:75146-2901
Mailing Address - Country:US
Mailing Address - Phone:214-459-9922
Mailing Address - Fax:
Practice Address - Street 1:100 SE GREEN OAKS BLVD
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76018-1640
Practice Address - Country:US
Practice Address - Phone:817-419-0585
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-18
Last Update Date:2020-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX52331183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist