Provider Demographics
NPI:1609394105
Name:EVOLUTIONARY PHARMACY SOLUTIONS, LLC
Entity Type:Organization
Organization Name:EVOLUTIONARY PHARMACY SOLUTIONS, LLC
Other - Org Name:EPS RX
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHARLENE
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:SIGNORINO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:214-812-9958
Mailing Address - Street 1:13619 INWOOD RD STE 380
Mailing Address - Street 2:
Mailing Address - City:FARMERS BRANCH
Mailing Address - State:TX
Mailing Address - Zip Code:75244-4642
Mailing Address - Country:US
Mailing Address - Phone:214-812-9958
Mailing Address - Fax:214-812-9155
Practice Address - Street 1:13619 INWOOD RD STE 380
Practice Address - Street 2:
Practice Address - City:FARMERS BRANCH
Practice Address - State:TX
Practice Address - Zip Code:75244-4642
Practice Address - Country:US
Practice Address - Phone:214-812-9958
Practice Address - Fax:214-812-9155
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-05
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3336C0003X, 3336S0011X
3336H0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy