Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Braden Jacob Wallace, PHARMD

Individual provider Pharmacist · NPI 1114496973

Braden Jacob Wallace, PHARMD is a Pharmacist in Santa Fe, New Mexico. Licensed in Colorado. Registered with an NPI since 2018.

Licensed in
CO
In the registry since
2018
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

See every abbreviation used in this directory →

Practice location Address checks out

1700 Cerrillos Rd
Santa Fe, NM 87505-3026
Phone: (505) 946-9387
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 0022441 (CO)

Record details

NPI number1114496973
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedNovember 21, 2018
Last updated in NPPESNovember 21, 2018
Mailing address3600 Cerrillos Rd Ste 732, Santa Fe, NM 87507-2689

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