Healthcare Provider Details

I. General information

NPI: 1376476572
Provider Name (Legal Business Name): HALA TAHER AL-BADRI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2929 W VALENCIA RD
TUCSON AZ
85746-8036
US

IV. Provider business mailing address

4127 E BOULDER SPRINGS WAY
TUCSON AZ
85712-6656
US

V. Phone/Fax

Practice location:
  • Phone: 520-578-0138
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberS027928
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: