<Unavail>

LBN: Premier Pharmacy Care, Llc
<Unavail> is an health care organization with primary practice located at 834 E Henri De Tonti Blvd , Springdale AR 72762-4124. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Premier Pharmacy Care, Llc can be contacted via phone (501) 813-5971, or through Ezell, Travis via phone (501) 992-1006.

Contact Information

Primary practice address
834 E Henri De Tonti Blvd Springdale AR 72762-4124
Fax: (501) 992-1013
Website:
Authorized official contact:
Name: Ezell, Travis

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X AR20822 Arkansas

Profile Details

NPI number 1790141216
LBN Legal business name Premier Pharmacy Care, Llc
DBA Doing business as <Unavail>
Authorized official Ezell, Travis
Entity Organization
Organization subpart 1 No
Enumeration date Jan 13th, 2016
Last updated Jul 23rd, 2025 - about last year

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 1790141216 NPPES
Other 2157501 PK

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