Evolve Pharmacy Llc

LBN: Evolve Pharmacy Llc
Evolve Pharmacy Llc is an health care organization with primary practice located at 2423 Main St Ste 5 , Evanston IL 60202-1547. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Evolve Pharmacy Llc can be contacted via phone (615) 928-2511, or through Simmons, James Robert via phone (931) 552-4340.

Contact Information

Primary practice address
2423 Main St Ste 5 Evanston IL 60202-1547
Phone: (615) 928-2511
Fax: (615) 928-2511
Website:
Map and Directions
Authorized official contact:
Name: Simmons, James Robert
Phone: (931) 552-4340

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1326730417
LBN Legal business name Evolve Pharmacy Llc
DBA Doing business as
Authorized official Simmons, James Robert
Entity Organization
Organization subpart 1 Yes
Enumeration date May 25th, 2023
Last updated May 30th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326730417 NPPES
Illinois Other 054.022456 ILLINOIS PHARMACY LICENSE

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