DR. Tyson Wallace, PHARM. D.

NPI #1982296877 in Gosnell, Arkansas

Provider Information

NPI Number: 1982296877
Entity Type: Individual
Name: DR. Tyson Wallace, PHARM. D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARM. D.
Enumeration Date: Feb 11, 2021
Last Updated: Apr 22, 2025

Practice Location

Address: 134 BEVILL AVE
City: Gosnell
State: Arkansas
ZIP Code: 72315
Phone: (870) 751-9242

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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