Evolve Rx Llc

LBN: Evolve Rx Llc
Evolve Rx Llc is an health care organization with primary practice located at 1618 Schadt Ave , Whitehall PA 18052-3702. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Evolve Rx Llc can be contacted via phone (610) 351-6337, or through Desai, Nick Niketan via phone (610) 351-6337.

Contact Information

Primary practice address
1618 Schadt Ave Whitehall PA 18052-3702
Phone: (610) 351-6337
Fax: (610) 351-6338
Website:
Map and Directions
Authorized official contact:
Name: Desai, Nick Niketan PHARMD
Phone: (610) 351-6337

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1104474949
LBN Legal business name Evolve Rx Llc
DBA Doing business as
Authorized official Desai, Nick Niketan PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Aug 26th, 2019
Last updated Aug 26th, 2019 - about 5 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 1104474949 NPPES
Pennsylvania MEDICAID 1035779120001

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