# MABIE PHARMACY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Forward Pharmacy of Columbus
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053873521
- **Authorized official:** MATTHEW RYAN MABIE RPH (OWNER)
- **Authorized official phone:** (608) 839-3335

## Contact information

- **Practice address:** 100 S LUDINGTON ST, COLUMBUS, WI 53925-1516
- **Practice address phone:** (920) 623-2701
- **Practice address fax:** (920) 623-3706
- **Mailing address:** 2108 UPHOFF RD, COTTAGE GROVE, WI 53527-9475
- **Mailing address phone:** (608) 347-5420
- **Mailing address fax:** (608) 839-3336

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 04/03/2019
- **Last updated:** 08/29/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1053873521 | — | WI |
| 01 | — | 9661-042 | STATE PHARMACY LICENSE | WI |