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Organization
MBMC MAUSTON PHILLIPS, LLC
Active
Organization
MBMC MAUSTON PHILLIPS, LLC
Active
Parent organization
MBMC MAUSTON PHILLIPS, LLC
Other names
Mile Bluff Pharmacy - New Lisbon
Organization subpart
Yes
Provider details
NPI number
Legal business name
MBMC MAUSTON PHILLIPS, LLC
Authorized official
TOM KAMINSKI (VP - CFO)
(608) 847-1452
Entity
Organization
Contact information
Practice address
901 W BRIDGE ST, NEW LISBON, WI 53950-1083
(608) 562-3302
Mailing address
901 W BRIDGE ST, NEW LISBON, WI 53950-1083
(608) 562-3302
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Enumeration date
01/29/2026
Last updated
01/29/2026
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