Organization
BLUMON CORPORATION
Active
Other names
Forward Pharmacy of Cambridge
Organization subpart
No
Provider details
NPI number
Authorized official
MATT MABIE (OWNER)
(608) 347-5420
Entity
Organization
Contact information
Practice address
109 W MAIN ST # 69, CAMBRIDGE, WI 53523-9141
(608) 423-3231
(608) 423-7128
Mailing address
109 W MAIN ST # 69, CAMBRIDGE, WI 53523-9141
(608) 423-3231
(608) 423-7128
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
7530-42
WI
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376693614
—
WI
01
—
2114772
PK
—
05
—
33211000
—
OK
01
—
7530-42
STATE LICENSE
WI
Enumeration date
01/11/2007
Last updated
08/29/2025
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