MEDICARE: LINEX ENTERPRISES LLC

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	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	31773	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2175175	OTHER		PK

General Provider Information

NPI Number	:	1598271017
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LINEX ENTERPRISES LLC

Provider Business Mailing Address
First Line	:	8635 LONG POINT RD STE C
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77055
Country	:	US
Telephone Number	:	713-492-2679
Fax Number	:	713-492-2793

Provider Business Practice Location Address
First Line	:	8635 LONG POINT RD STE C
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77055-3001
Country	:	US
Telephone Number	:	713-492-2679
Fax Number	:	713-492-2793

Authorized Official
Title or Position	:	LLC MEMBER/OWNER/PHARMACIST IN CHAR
Name	:	CAROL DI CESARE
Credential	:
Telephone Number	:	832-287-4354

Provider Enumeration Date	:	12/19/2017
Last Update Date	:	01/24/2018

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Directions to “LINEX ENTERPRISES LLC ” Practice Location

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