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Organization
MABIE PHARMACY, LLC
Active
Organization
MABIE PHARMACY, LLC
Active
Other names
Forward Pharmacy of Columbus
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW RYAN MABIE RPH (OWNER)
(608) 839-3335
Entity
Organization
Contact information
Practice address
100 S LUDINGTON ST, COLUMBUS, WI 53925-1516
(920) 623-2701
(920) 623-3706
Mailing address
2108 UPHOFF RD, COTTAGE GROVE, WI 53527-9475
(608) 347-5420
(608) 839-3336
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
3336L0003X
Long Term Care Pharmacy
—
NULL
3336S0011X
Specialty Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053873521
—
WI
01
—
9661-042
STATE PHARMACY LICENSE
WI
Enumeration date
04/03/2019
Last updated
08/29/2025
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