# MBMC MAUSTON PHILLIPS 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
- **Other names:** Mile Bluff Pharmacy - Mauston, Mile Bluff Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629520879
- **Authorized official:** THOMAS KAMINSKI (VP - CFO)
- **Authorized official phone:** (608) 847-1452

## Contact information

- **Practice address:** 406 GATEWAY AVE, MAUSTON, WI 53948-1401
- **Practice address phone:** (608) 847-5949
- **Practice address fax:** (608) 847-5199
- **Mailing address:** 406 GATEWAY AVE, MAUSTON, WI 53948-1401
- **Mailing address phone:** (608) 847-5949
- **Mailing address fax:** (608) 847-5199

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 9434-42 | WI | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 11/03/2016
- **Last updated:** 06/15/2026