Provider Demographics
NPI:1316657216
Name:MBB INVESTMENT GROUP LLC
Entity type:Organization
Organization Name:MBB INVESTMENT GROUP LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:ALVIN
Authorized Official - Last Name:MEADOWS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:832-282-7661
Mailing Address - Street 1:19706 TACOMA BLUFF DR
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-4780
Mailing Address - Country:US
Mailing Address - Phone:832-282-7661
Mailing Address - Fax:
Practice Address - Street 1:21013 OLD SORTERS RD STE C
Practice Address - Street 2:
Practice Address - City:PORTER
Practice Address - State:TX
Practice Address - Zip Code:77365-7083
Practice Address - Country:US
Practice Address - Phone:281-747-7445
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-01
Last Update Date:2022-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy