All Medicaid billing entities listing WALLACE, TYSON (PHARMACY MANAGER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Arkansas | 1 | $15K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | GOSNELL DRUGS INC. | GOSNELL, AR | Community/Retail Pharmacy | $15K |