Provider Demographics
NPI:1740158740
Name:ARIANNA MEDICAL PHARMACY INC
Entity type:Organization
Organization Name:ARIANNA MEDICAL PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:MRS
Authorized Official - First Name:KARMEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SEFYAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:818-957-9200
Mailing Address - Street 1:3600 N VERDUGO RD STE 103
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91208-1258
Mailing Address - Country:US
Mailing Address - Phone:818-957-9200
Mailing Address - Fax:818-957-9200
Practice Address - Street 1:3600 N VERDUGO RD STE 103
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91208-1258
Practice Address - Country:US
Practice Address - Phone:818-957-9200
Practice Address - Fax:818-957-9200
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ARIANNA MEDICAL PHARMACY INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-10-29
Last Update Date:2025-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy