Organization
GOSNELL DRUGS INC.
Active
Organization
GOSNELL DRUGS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYSON WALLACE PHARM.D. (OWNER)
(870) 751-9242
Entity
Organization
Contact information
Practice address
134 BEVILL AVE, GOSNELL, AR 72315
(573) 559-5525
Mailing address
134 BEVILL AVE, GOSNELL, AR 72315
(870) 751-9242
(870) 751-9291
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
234926407
—
AR
05
—
600073809
—
MO
Enumeration date
12/28/2018
Last updated
08/26/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up