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DR. JACK BROWNING WALLACE PHARM. D
NPI 1235424516
Pharmacist in Santa Cruz, CA

Active since June 14, 2011
901 SOQUEL AVE, SANTA CRUZ, CA 95062(831) 426-4303 Get Directions Write a Review

NPPES record last updated: June 14, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Jack Browning Wallace Pharm. D NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACK BROWNING WALLACE PHARM. D (NPI 1235424516) is an individual pharmacist provider in Santa Cruz, California, licensed in California (33200) and active in the NPI registry since June 2011.Information from the official NPPES registry record, last updated June 14, 2011.

NPPES Registry Identity

NPI1235424516
Entity TypeIndividualMale
Provider Legal NameDR. JACK BROWNING WALLACECredential: PHARM. D
Location Address901 SOQUEL AVESanta Cruz, CA 95062-2122
Mailing Address151 Stephen Rd Apt BAptos, CA 95003-4667 · (831) 332-9593
Phone(831) 426-4303
Sole ProprietorYes
Enumeration DateJune 14, 2011
✔ NPI 1235424516 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

★ Primary Specialty

Pharmacist

Taxonomy 183500000X · Pharmacy Service Providers

✔ Licensed in CA · 33200

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,… Show more

901 SOQUEL AVE, Santa Cruz, CA 95062
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Reviews for DR. JACK BROWNING WALLACE PHARM. D

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

CINDY JEEHYE PARK
Pharmacist
901 SOQUEL AVE
SANTA CRUZ, CA 95062
Santa Cruz County (831) 426-4303
HUNTER RAY GHIOTTI
Pharmacy Technician
901 SOQUEL AVE
SANTA CRUZ, CA 95062
Santa Cruz County (831) 426-4303

Frequently Asked Questions

What is Jack Wallace's NPI number?

The NPI number assigned to this healthcare provider is 1235424516, enumerated as an "individual" on June 14, 2011.

Where is the provider located?

The provider is located at 901 SOQUEL AVE SANTA CRUZ, CA 95062 and the phone number is (831) 426-4303.

What is the provider's specialty?

Pharmacist with taxonomy code 183500000X.