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

Individual provider Pharmacist · NPI 1053824003

Ali Lois Icenogle, PHARMACIST is a Pharmacist in Tucson, Arizona. Practices as a sole proprietor and works from 2 locations. Licensed in Washington.

Licensed in
WA
In the registry since
2017
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Practice location Address checks out

3601 S 6th Ave
Tucson, AZ 85723-1532
Phone: (520) 792-1450
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1660 S Columbian Way, Seattle, WA 98108-1532 — (206) 277-4572

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence PH61056519 (WA)

Record details

NPI number1053824003
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHARMACIST
Sole proprietorYes
NPI enumeratedNovember 13, 2017
Last updated in NPPESSeptember 29, 2021
Certification dateSeptember 29, 2021

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