# MABIE PHARMACY, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MABIE PHARMACY, LLC
- **Other names:** Forward Pharmacy of McFarland
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1366952293
- **Legal business name:** MABIE PHARMACY, LLC
- **Authorized official:** MR. MATTHEW RYAN MABIE RPH (OWNER)
- **Authorized official phone:** (608) 347-5420

## Contact information

- **Practice address:** 4880 LARSON BEACH RD, MC FARLAND, WI 53558-8724
- **Practice address phone:** (608) 838-7455
- **Practice address fax:** (608) 838-8329
- **Mailing address:** 4880 LARSON BEACH RD, MC FARLAND, WI 53558-8724
- **Mailing address phone:** (608) 838-7455
- **Mailing address fax:** (608) 838-8329

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 9484-042 | WI | Yes |
| 3336L0003X | Long Term Care Pharmacy | 9484-042 | WI | — |
| 3336S0011X | Specialty Pharmacy | 9484-042 | WI | — |

## Other

- **Enumeration date:** 10/05/2017
- **Last updated:** 08/29/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1366952293 | — | WI |
| 01 | — | 9484-042 | STATE OF WISCONSIN PHARMACY LICENSE | WI |
