Organization
EVOLVE PHARMACY LLC
Active
Parent organization
TENNESSEE ORTHOPAEDIC ALLIANCE, P.A.
Organization subpart
Yes
Provider details
NPI number
Legal business name
TENNESSEE ORTHOPAEDIC ALLIANCE, P.A.
Authorized official
MR. JAMES ROBERT SIMMONS (C.E.O)
(931) 552-4340
Entity
Organization
Contact information
Practice address
2423 MAIN ST STE 5, EVANSTON, IL 60202-1547
(615) 928-2511
(615) 928-2511
Mailing address
710 N DEARBORN ST, CHICAGO, IL 60654-5900
(615) 928-2511
(615) 928-2511
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
054.022456
ILLINOIS PHARMACY LICENSE
IL
Enumeration date
05/25/2023
Last updated
05/30/2023
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