Tyson Wallace, PHARM. D.
Pharmacist · Gosnell, AR
Practice location
134 Bevill AveGosnell, AR 72315
- Phone
- (870) 751-9242
- Fax
- (870) 751-9291
NPI record
- NPI
- 1982296877
- Entity type
- Individual (Type 1)
- Enumeration date
- February 11, 2021
- Last updated
- April 22, 2025
- Certified
- April 22, 2025
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist Primary | 183500000X |
PD09924 | AR |
| Pharmacist | 183500000X |
2007005629 | MO |
Other practice locations (1)
- 339 E Commercial St, Senath, MO 63876-9238 · (573) 738-2097
About Dr. Wallace
Tyson Wallace, PHARM. D. is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 134 Bevill Ave, Gosnell, AR 72315. The NPI number 1982296877 was assigned on February 11, 2021 and the record was last updated on April 22, 2025.
Dr. Wallace lists 2 licenses in the registry: #PD09924 (AR) for Pharmacist; #2007005629 (MO) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Tyson Wallace, PHARM. D.?
The NPI number is 1982296877.
What is the phone number of Dr. Wallace?
The phone number listed for the practice location is (870) 751-9242.
Where is Dr. Wallace located?
134 Bevill Ave, Gosnell, AR 72315.
What is the taxonomy code for Dr. Wallace?
The primary taxonomy code is 183500000X – Pharmacist; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Pharmacist providers in Gosnell
- Natalie Crockett134 Bevill St
- Brandon Glenn Michael, PHARM.D134 Bevill Avenue