<Unavail>

LBN: Mabie Pharmacy, Llc
<Unavail> is an health care organization with primary practice located at 429 W Cottage Grove Rd , Cottage Grove WI 53527-9385. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Health Service, Ambulatory Health Care Facilities / Primary Care, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Mabie Pharmacy, Llc can be contacted via phone (608) 839-3335, or through Mabie, Matthew Ryan via phone (608) 839-3335.

Contact Information

Primary practice address
429 W Cottage Grove Rd Cottage Grove WI 53527-9385
Fax:
Website:
Authorized official contact:
Name: Mabie, Matthew Ryan

Profile Details

NPI number 1295535755
LBN Legal business name Mabie Pharmacy, Llc
DBA Doing business as <Unavail>
Authorized official Mabie, Matthew Ryan
Entity Organization
Organization subpart 1 No
Enumeration date Mar 14th, 2025
Last updated Jan 21st, 2026 - about 9 months 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 1295535755 NPPES
Wisconsin Other 9483-042 STATE LICENSE NUMBER

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