Organization
GOSNELL DRUGS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYSON WALLACE PHARM. D. (OWNER/PHARMACIST)
(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
05/07/2026
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