# MBMC RAABE PHARMACY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Raabe's Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861999856
- **Authorized official:** JAMES O'KEEFE (PRESIDENT & CEO)
- **Authorized official phone:** (608) 847-6161

## Contact information

- **Practice address:** 112 S ADAMS ST, NEW LISBON, WI 53950-1206
- **Practice address phone:** (608) 562-3302
- **Practice address fax:** (608) 562-3951
- **Mailing address:** 1050 DIVISION ST, MAUSTON, WI 53948-1931
- **Mailing address phone:** (608) 847-6161

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 9507-42 | WI | Yes |

## Other

- **Enumeration date:** 04/07/2018
- **Last updated:** 04/07/2018