BRADEN JACOB WALLACE PHARMD
NPI 1114496973
Pharmacist in Santa Fe, NM
About Braden Jacob Wallace Pharmd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRADEN JACOB WALLACE PHARMD (NPI 1114496973) is an individual pharmacist in Santa Fe, New Mexico, licensed in Colorado (0022441) and active in the NPI registry since November 2018.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SANTA FE, NM 87505
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Braden Wallace's NPI number?
The NPI number for Braden Wallace is 1114496973. It was assigned to this individual provider in the NPPES registry on November 21, 2018.
Where is Braden Wallace located?
Braden Wallace practices at 1700 Cerrillos Rd, Santa Fe, NM 87505. The listed phone number is (505) 946-9387.
What is Braden Wallace's specialty?
The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.
When was this NPI record last updated?
The NPPES record for Braden Wallace was last updated on November 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.