Organization
MBMC MAUSTON PHILLIPS LLC
Active
Other names
Mile Bluff Pharmacy - Mauston, Mile Bluff Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS KAMINSKI (VP - CFO)
(608) 847-1452
Entity
Organization
Contact information
Practice address
406 GATEWAY AVE, MAUSTON, WI 53948-1401
(608) 847-5949
(608) 847-5199
Mailing address
406 GATEWAY AVE, MAUSTON, WI 53948-1401
(608) 847-5949
(608) 847-5199
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
9434-42
WI
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
11/03/2016
Last updated
05/06/2026
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