Tisane Pharmacy Llc

NPI 1245510684 - Pharmacy - 3336C0003X

NPI Details
NPI 1245510684
Enumeration Date 08/17/2011
Last Updated 02/22/2016
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name INNA INNA
Position OWNER
Phone (212) 517-0037
Fax (212) 517-0039
Practice Location
340 E 86TH ST
NEW YORK NY, 10028-4661, US
Phone (212) 517-0037
Fax (212) 517-0039
Business Location
340 E 86TH ST
NEW YORK NY, 10028-4661, US
Phone (212) 517-0037
Fax (212) 517-0039
Toxanomy
Taxonomy Code 3336C0003X
License State New York
License Number 030789
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According to our database, Tisane Pharmacy Llc NPI is 1245510684, taxonomy code is 3336C0003X and license number is 030789, license state is located at New York. Tisane Pharmacy Llc physically located at 340 E 86th St, New York NY, 10028-4661. NPI Number 1033115704 has the healthcare provider type.

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1245510684 NPI number is provided on an as is basis without warranty of any kind. 1245510684 is maintained by the National Plan & Provider Enumeration System. The contents of Tisane Pharmacy Llc are for informational purposes only.