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Dr. Tyson Wallace, PHARMD
Pharmacist in Gosnell, Arkansas
NPI 1982296877

Tyson Wallace is a Pharmacist based in Gosnell, AR. Tyson Wallace practices in Gosnell, AR and has the professional credentials of PHARMD. The NPI Number for Tyson Wallace is 1982296877 and holds a License No. 2007005629 (Arkansas).

The current practice location address for Tyson Wallace is 134 Bevill Ave, Gosnell, AR and can be reached out via phone at 870-751-9242 and via fax at 870-751-9291.

Location: 134 Bevill Ave, Gosnell, AR, 72315
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982296877
Provider Name
Tyson Wallace
Credential
PHARMD
Provider Entity Type
Individual
Gender
Male
Address
134 Bevill Ave, Gosnell, AR, 72315
Phone Number
870-751-9242
Fax Number
870-751-9291
Provider Enumeration Date
02/11/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
134 Bevill Ave
City
Gosnell
State
Arkansas
Zip
72315
Phone Number
870-751-9242
Fax Number
870-751-9291
person
Provider Business Mailing Address Details
Address
134 Bevill Ave
City
Gosnell
State
Arkansas
Zip
72315
Phone Number
870-751-9242
Fax Number
870-751-9291
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
2007005629 (Missouri)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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