Forward Pharmacy Of Deerfield
LBN: Mabie Pharmacy, Llc
Forward Pharmacy Of Deerfield is an health care organization with primary practice located at 10 Liberty St # 106 , Deerfield WI 53531-9458. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Mabie Pharmacy, Llc can be contacted via phone (608) 764-1500, or through Mabie, Matthew Ryan via phone (608) 347-5420.
Contact Information
Primary practice address
10 Liberty St # 106
Deerfield WI 53531-9458
Phone: (608) 764-1500
Fax: (608) 764-1600
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 9485-042 | Wisconsin |
| Suppliers / Long Term Care Pharmacy | 3336L0003X | 9485-042 | Wisconsin |
| Suppliers / Specialty Pharmacy | 3336S0011X | 9485-042 | Wisconsin |
Profile Details
| NPI number | 1164932091 |
|---|---|
| LBN Legal business name | Mabie Pharmacy, Llc |
| DBA Doing business as | Forward Pharmacy Of Deerfield |
| Authorized official | Mabie, Matthew Ryan RPH |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Oct 5th, 2017 |
| Last updated | Mar 7th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164932091 | NPPES |
| Wisconsin | Other | 9485-042 | STATE OF WISCONSIN PHARMACY LICENSE |
| Wisconsin | MEDICAID | 1164932091 | STATE OF WISCONSIN PHARMACY LICENSE |
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