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
Fax Number:
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Patients can reach Braden Jacob Wallace at 1700 Cerrillos Rd, Santa Fe, New Mexico or can call on phone at 505-946-9387.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.
Other Pharmacists in Santa Fe, New Mexico
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