Braden Jacob Wallace
Pharmacist
1700 Cerrillos Rd, Santa Fe
New Mexico, 87505-3026
505-946-9387 Braden Jacob Wallace is a pharmacist in Santa Fe, New Mexico. Patients can reach him at 1700 Cerrillos Rd, Santa Fe or contact him on 505-946-9387. Active license number of Braden Jacob Wallace is 0022441 for Pharmacist in Colorado.
Braden Jacob Wallace is 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.
Complete Profile:
Braden Jacob Wallace speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for enquiries.
| Name: | Braden Jacob Wallace |
| Specialization: | Pharmacist |
| Credentials: | PHARMD |
| Gender: | Male |
| Location: | 1700 Cerrillos Rd, Santa Fe,
New Mexico, 87505-3026 |
| Phone: | 505-946-9387 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of Braden Jacob Wallace are as mentioned below.
| NPI Number: | 1114496973 |
| NPI Enumeration Date: | 21 Nov, 2018 |
| NPI Last Update On: | 21 Nov, 2018 |
Medical Licenses:
Pharmacists can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Braden Jacob Wallace are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacist | 0022441 | Colorado | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Braden Jacob Wallace such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| PHA.0022441 | Other | Colorado | Pharmacist License Number |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 3600 Cerrillos Rd Ste 732,
Santa Fe, New Mexico |
| Zip: | 87507-2689 |
| Phone Number: | 918-989-6276 |
Patients can reach Braden Jacob Wallace at
1700 Cerrillos Rd, Santa Fe, New Mexico or can
call on phone at 505-946-9387.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.