# BLUMON CORPORATION

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

## Provider details

- **NPI number:** 1376693614
- **Authorized official:** MATT MABIE (OWNER)
- **Authorized official phone:** (608) 347-5420

## Contact information

- **Practice address:** 109 W MAIN ST \# 69, CAMBRIDGE, WI 53523-9141
- **Practice address phone:** (608) 423-3231
- **Practice address fax:** (608) 423-7128
- **Mailing address:** 109 W MAIN ST \# 69, CAMBRIDGE, WI 53523-9141
- **Mailing address phone:** (608) 423-3231
- **Mailing address fax:** (608) 423-7128

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 7530-42 | WI | Yes |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 01/11/2007
- **Last updated:** 08/29/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1376693614 | — | WI |
| 01 | — | 2114772 | PK | — |
| 05 | — | 33211000 | — | OK |
| 01 | — | 7530-42 | STATE LICENSE | WI |