Healthcare Provider Details

I. General information

NPI: 1770497158
Provider Name (Legal Business Name): ISABELLA ALI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3699 E BROADWAY BLVD
TUCSON AZ
85716-5400
US

IV. Provider business mailing address

11370 N CHAROLEAU DR
TUCSON AZ
85737-1708
US

V. Phone/Fax

Practice location:
  • Phone: 520-917-0117
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberS028061
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: