Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Tyson Wallace, PHARMD

Individual provider Pharmacist · NPI 1982296877

Dr. Tyson Wallace, PHARMD is a Pharmacist in Gosnell, Arkansas. Works from 2 locations. Licensed in Arkansas and Missouri.

Licensed in
AR, MO
In the registry since
2021
Specialties on file
2
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

See every abbreviation used in this directory →

Practice location Address checks out

134 Bevill Ave
Gosnell, AR 72315
Phone: (870) 751-9242
Fax: (870) 751-9291
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 339 E Commercial St, Senath, MO 63876-9238 — (573) 738-2097

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence PD09924 (AR)
Pharmacist Taxonomy 183500000X · Licence 2007005629 (MO)

Record details

NPI number1982296877
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedFebruary 11, 2021
Last updated in NPPESApril 22, 2025
Certification dateApril 22, 2025
Mailing address134 Bevill Ave, Gosnell, AR 72315

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