Organization
MABIE PHARMACY, LLC
Active
Other names
Forward Pharmacy of Monona LTC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW RYAN MABIE RPH (OWNER)
(608) 347-5420
Entity
Organization
Contact information
Practice address
5711 MONONA DR, MONONA, WI 53716
(608) 221-8151
(608) 221-4682
Mailing address
2108 UPHOFF RD, COTTAGE GROVE, WI 53527-9475
(608) 347-5420
(608) 839-3336
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10154-42
STATE LICENSE
WI
Enumeration date
11/28/2023
Last updated
09/12/2025
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