Organization
PREMIER PHARMACY CARE LLC
Active
Other names
Premier Pharmacy Care LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRAVIS EZELL PHARMD (COO)
(501) 992-1006
Entity
Organization
Contact information
Practice address
760 MICHAELA DR., NORTH LITTLE ROCK, AR 72117
(501) 992-1006
(501) 992-1013
Mailing address
760 MICHAELA DR., NORTH LITTLE ROCK, AR 72117
(501) 992-1006
(501) 992-1013
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
AR20771
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2148229
PK
—
Enumeration date
09/27/2014
Last updated
07/23/2025
Update your record
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