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Organization
MABIE PHARMACY, LLC
Active
Organization
MABIE PHARMACY, LLC
Active
Parent organization
MABIE PHARMACY, LLC
Other names
Forward Pharmacy of Deerfield
Organization subpart
Yes
Provider details
NPI number
Legal business name
MABIE PHARMACY, LLC
Authorized official
MR. MATTHEW RYAN MABIE RPH (OWNER)
(608) 347-5420
Entity
Organization
Contact information
Practice address
10 LIBERTY ST # 106, DEERFIELD, WI 53531-9458
(608) 764-1500
(608) 764-1600
Mailing address
PO BOX 406, DEERFIELD, WI 53531-0406
(608) 764-1500
(608) 764-1600
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
9485-042
WI
3336L0003X
Long Term Care Pharmacy
9485-042
WI
3336S0011X
Specialty Pharmacy
9485-042
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164932091
—
WI
01
—
9485-042
STATE OF WISCONSIN PHARMACY LICENSE
WI
Enumeration date
10/05/2017
Last updated
08/29/2025
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