Healthcare Provider Details

I. General information

NPI: 1255166757
Provider Name (Legal Business Name): GIARA PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2024
Last Update Date: 01/14/2025
Certification Date: 01/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5400 BALBOA BLVD STE 100
ENCINO CA
91316-1598
US

IV. Provider business mailing address

5400 BALBOA BLVD STE 100
ENCINO CA
91316-1598
US

V. Phone/Fax

Practice location:
  • Phone: 818-788-0770
  • Fax: 818-788-0550
Mailing address:
  • Phone: 818-788-0770
  • Fax: 818-788-0550

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: KAYANE VIOLANTE
Title or Position: CEO/PRESIDENT
Credential: PHARMD
Phone: 818-788-0770