Organization
MBMC RAABE PHARMACY, LLC
Active
Other names
Raabe's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES O'KEEFE (PRESIDENT & CEO)
(608) 847-6161
Entity
Organization
Contact information
Practice address
112 S ADAMS ST, NEW LISBON, WI 53950-1206
(608) 562-3302
(608) 562-3951
Mailing address
1050 DIVISION ST, MAUSTON, WI 53948-1931
(608) 847-6161
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
9507-42
WI
Other
Enumeration date
04/07/2018
Last updated
04/07/2018
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