# PREMIER PHARMACY CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Premier Pharmacy Care LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558764159
- **Authorized official:** DR. TRAVIS EZELL PHARMD (COO)
- **Authorized official phone:** (501) 992-1006

## Contact information

- **Practice address:** 760 MICHAELA DR., NORTH LITTLE ROCK, AR 72117
- **Practice address phone:** (501) 992-1006
- **Practice address fax:** (501) 992-1013
- **Mailing address:** 760 MICHAELA DR., NORTH LITTLE ROCK, AR 72117
- **Mailing address phone:** (501) 992-1006
- **Mailing address fax:** (501) 992-1013

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | AR20771 | AR | Yes |

## Other

- **Enumeration date:** 09/27/2014
- **Last updated:** 07/23/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2148229 | PK | — |
