| Braden Jacob Wallace, PHARMD | |
|
1700 Cerrillos Rd, Santa Fe, NM 87505-3026 | |
| (505) 946-9387 | |
| Not Available |
| Full Name | Braden Jacob Wallace |
|---|---|
| Gender | Male |
| Speciality | Pharmacist |
| Location | 1700 Cerrillos Rd, Santa Fe, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114496973 | NPI | - | NPPES |
| PHA.0022441 | Other | CO | PHARMACIST LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | 0022441 (Colorado) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Braden Jacob Wallace, PHARMD 3600 Cerrillos Rd Ste 732, Santa Fe, NM 87507-2689 Ph: (918) 989-6276 | Braden Jacob Wallace, PHARMD 1700 Cerrillos Rd, Santa Fe, NM 87505-3026 Ph: (505) 946-9387 |
Kya Norby, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1700 Cerrillos Rd, Santa Fe, NM 87505 Phone: 505-946-9387 | |
Caledonia Harrison, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 3251 Cerrillos Rd, Walmart Pharmacy, Santa Fe, NM 87507 Phone: 505-473-4261 | |
Matthew E Swift, RPH , PHC Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 465 Saint Michaels Dr Ste 114, Santa Fe, NM 87505 Phone: 505-913-5287 Fax: 505-913-4949 | |
Stephanie Martinez, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 3251 Cerrillos Rd, Santa Fe, NM 87507 Phone: 505-473-4261 | |
Joseph Ramirez, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 3542 Zafarano Dr, Santa Fe, NM 87507 Phone: 505-471-2914 Fax: 505-471-2463 | |
Mr. Robert Shirley, PH.C. Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 455 Saint Michaels Dr, Santa Fe, NM 87505 Phone: 505-820-5287 Fax: 505-995-4949 | |
Brianna Harrand, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 649 Harkle Rd, Santa Fe, NM 87505 Phone: 505-216-1997 Fax: 505-216-0154 |