# MB&T PHARMACY INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** 333600000X
- **Other names:** MB&T Pharmacy ltc
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1407690183
- **Legal business name:** 333600000X
- **Authorized official:** DR. MUDASAR KHAN (SUPERVISING PHARMACIST)
- **Authorized official phone:** (347) 831-8240

## Contact information

- **Practice address:** 2343 FOREST AVE STE 8, STATEN ISLAND, NY 10303-1511
- **Practice address phone:** (718) 273-2033
- **Practice address fax:** (718) 273-8263
- **Mailing address:** 2343 FOREST AVE STE 8, STATEN ISLAND, NY 10303-1511
- **Mailing address phone:** (718) 273-2033
- **Mailing address fax:** (718) 273-8263

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 06/19/2024
- **Last updated:** 06/19/2024