# PREMIER PHARMACY CARE, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1790141216
- **Authorized official:** DR. TRAVIS EZELL (COO)
- **Authorized official phone:** (501) 992-1006

## Contact information

- **Practice address:** 834 E HENRI DE TONTI BLVD, SPRINGDALE, AR 72762-4124
- **Practice address phone:** (501) 813-5971
- **Practice address fax:** (501) 992-1013
- **Mailing address:** 834 E HENRI DE TONTI BLVD, SPRINGDALE, AR 72762
- **Mailing address phone:** (501) 813-5971
- **Mailing address fax:** (501) 992-1013

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | AR20822 | AR | Yes |

## Other

- **Enumeration date:** 01/13/2016
- **Last updated:** 07/23/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2157501 | PK | — |