Individual
MARY SUZANNE MABLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
600 HIGHLAND AVE, COMPLIANCE MC 2433, MADISON, WI 53792-0001
(608) 662-0817
Mailing address
600 HIGHLAND AVE, COMPLIANCE MC 2433, MADISON, WI 53792-0001
(608) 662-0817
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10668
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10668
PHARMACIST
WI
Enumeration date
10/31/2008
Last updated
10/31/2008
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