| NPI | 1245510684 |
|---|---|
| Doing Business As | TISANE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | INNA SHAFIR Owner 212-517-0037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 030789) |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2016-02-22 |