MEDICARE: CHLOLINDAK CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy	27151	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2126734	OTHER		PK

General Provider Information

NPI Number	:	1285958389
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHLOLINDAK CORPORATION

Provider Business Mailing Address
First Line	:	11524 SPACE CENTER BLVD STE 101
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77059-3603
Country	:	US
Telephone Number	:	281-487-9090
Fax Number	:	281-487-9098

Provider Business Practice Location Address
First Line	:	11524 SPACE CENTER BLVD STE 101
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77059-3603
Country	:	US
Telephone Number	:	281-487-9090
Fax Number	:	281-487-9098

Authorized Official
Title or Position	:	OWNER
Name	:	LENNY ARTEAGA
Credential	:
Telephone Number	:	281-987-3300

Provider Enumeration Date	:	03/17/2010
Last Update Date	:	06/01/2015

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Directions to “CHLOLINDAK CORPORATION ” Practice Location

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