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Contact Information

GOSNELL DRUGS INC.
134 BEVILL AVE
GOSNELL, AR72315
 Phone: 573-559-5525
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for GOSNELL DRUGS INC.

NPI # 1770055923
LBN Legal business name GOSNELL DRUGS INC.
Authorized official TYSON WALLACE - (OWNER/PHARMACIST)
Entity Organization
Organization subpart 1 No
Enumeration date 12/28/2018
Last updated 05/07/2026 - About a month ago
Identifiers
AR Medicaid 234926407
MO Medicaid 600073809
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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