Organization
MABIE PHARMACY, LLC
Active
Other names
Forward Pharmacy of Columbus
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW RYAN MABIE RPH (OWNER)
(608) 839-3335
Entity
Organization
Contact information
Practice address
100 S LUDINGTON ST, COLUMBUS, WI 53925-1516
(920) 623-2701
(920) 623-3706
Mailing address
2108 UPHOFF RD, COTTAGE GROVE, WI 53527-9475
(608) 347-5420
(608) 839-3336
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053873521
—
WI
01
—
9661-042
STATE PHARMACY LICENSE
WI
Enumeration date
04/03/2019
Last updated
08/29/2025
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