# MBMC MAUSTON PHILLIPS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MILE BLUFF PHARMACY
- **Other names:** Mile Bluff Pharmacy - Necedah
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1801746987
- **Legal business name:** MILE BLUFF PHARMACY
- **Authorized official:** TOM KAMINSKI (VP - CFO)
- **Authorized official phone:** (608) 847-1452

## Contact information

- **Practice address:** 1408 WHEELIHAN AVE, NECEDAH, WI 54646-8253
- **Practice address phone:** (608) 847-2854
- **Mailing address:** 1408 WHEELIHAN AVE, NECEDAH, WI 54646-8253
- **Mailing address phone:** (608) 847-2854

## Taxonomy

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

## Other

- **Enumeration date:** 01/29/2026
- **Last updated:** 01/29/2026