PREMIER PHARMACY CARE, LLC
NPI: 1790141216
· SPRINGDALE, AR 72762
· Pharmacy
· NPI assigned 01/13/2016
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | EZELL, TRAVIS (COO) |
| NPI Enumeration Date | 01/13/2016 |
Related Entities
Other providers sharing the same authorized official: EZELL, TRAVIS
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
407 |
$0.00 |
| 2021 |
1,300 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0012A |
|
678 |
677 |
$0.00 |
| 91301 |
|
220 |
209 |
$0.00 |
| 0011A |
|
809 |
808 |
$0.00 |