Forward Pharmacy Of Deerfield

LBN: Mabie Pharmacy, Llc
Forward Pharmacy Of Deerfield is an health care organization with primary practice located at 10 Liberty St # 106 , Deerfield WI 53531-9458. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Mabie Pharmacy, Llc can be contacted via phone (608) 764-1500, or through Mabie, Matthew Ryan via phone (608) 347-5420.

Contact Information

Primary practice address
10 Liberty St # 106 Deerfield WI 53531-9458
Phone: (608) 764-1500
Fax: (608) 764-1600
Website:
Map and Directions
Authorized official contact:
Name: Mabie, Matthew Ryan RPH
Phone: (608) 347-5420

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 9485-042 Wisconsin
Suppliers / Long Term Care Pharmacy 3336L0003X 9485-042 Wisconsin
Suppliers / Specialty Pharmacy 3336S0011X 9485-042 Wisconsin

Profile Details

NPI number 1164932091
LBN Legal business name Mabie Pharmacy, Llc
DBA Doing business as Forward Pharmacy Of Deerfield
Authorized official Mabie, Matthew Ryan RPH
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 5th, 2017
Last updated Mar 7th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164932091 NPPES
Wisconsin Other 9485-042 STATE OF WISCONSIN PHARMACY LICENSE
Wisconsin MEDICAID 1164932091 STATE OF WISCONSIN PHARMACY LICENSE

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