Familiar One Source LLC

NPI #1164296935 in Manvel, Texas

Provider Information

NPI Number: 1164296935
Entity Type: Organization
Organization Name: Familiar One Source LLC
Primary Specialty: Pharmacy
Enumeration Date: Nov 13, 2023
Last Updated: Feb 20, 2024

Practice Location

Address: 11800 MAGNOLIA PKWY STE 123
City: Manvel
State: Texas
ZIP Code: 77578-1799
Phone: (346) 486-8487

Authorized Official

Name: DEMETRIS CARAWAY
Title: MANAGING MEMBER
Phone: (346) 486-8487

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy	333600000X	Primary

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