Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TYSON WALLACE, PHARM. D.
ActiveDR. TYSON WALLACE, PHARM. D. is a Pharmacist healthcare provider located in GOSNELL, Arkansas. NPI 1982296877 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · GOSNELL, AR
Registration Details
- NPI Number
- 1982296877
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 11, 2021 (5.5007148152953 yrs)
- Last Updated
- Apr 22, 2025
- Licenses
-
2007005629 (MO)PD09924 (AR)
Practice Information
- Address
-
134 BEVILL AVEGOSNELL, AR, 72315Browse AR providers · Browse ZIP 72315
- Phone
- 8707519242
- Fax
- 8707519291
- Primary Specialty
-
Pharmacist
183500000X
- Additional Specialty
- Pharmacist
Other Pharmacist Providers in GOSNELL, AR
| Name | Credential | NPI |
|---|---|---|
| DR. BRANDON GLENN MICHAEL | PHARM.D | 1912599895 |
| NATALIE CROCKETT | — | 1649095852 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.