Mabie Pharmacy, Llc

LBN: Mabie Pharmacy, Llc
Mabie Pharmacy, Llc is an health care organization with primary practice located at 4205 Monona Dr , Monona WI 53716-1663. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Mabie Pharmacy, Llc can be contacted via phone (608) 221-8151, or through Mabie, Matthew Ryan via phone (608) 347-5420.

Contact Information

Primary practice address
4205 Monona Dr Monona WI 53716-1663
Phone: (608) 221-8151
Fax: (608) 221-4682
Website:
Map and Directions
Authorized official contact:
Name: Mabie, Matthew Ryan RPH
Phone: (608) 347-5420

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1740056001
LBN Legal business name Mabie Pharmacy, Llc
DBA Doing business as
Authorized official Mabie, Matthew Ryan RPH
Entity Organization
Organization subpart 1 No
Enumeration date Nov 28th, 2023
Last updated Nov 28th, 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 1740056001 NPPES
Wisconsin Other 10041-42 STATE LICENSE

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