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

Dr. Jack Browning Wallace, PHARMD

Individual provider Pharmacist · NPI 1235424516

Dr. Jack Browning Wallace, PHARMD is a Pharmacist in Santa Cruz, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2011
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

901 Soquel Ave
Santa Cruz, CA 95062-2122
Phone: (831) 426-4303
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 33200 (CA)

Record details

NPI number1235424516
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorYes
NPI enumeratedJune 14, 2011
Last updated in NPPESJune 14, 2011

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