Forward Pharmacy Of Cottage Grove
LBN: Mabie Pharmacy, Llc
Forward Pharmacy Of Cottage Grove is an health care organization with primary practice located at 429 W Cottage Grove Rd , Cottage Grove WI 53527-9385. 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) 839-3335, or through Mabie, Matthew Ryan via phone (608) 347-5420.
Contact Information
Primary practice address
429 W Cottage Grove Rd
Cottage Grove WI 53527-9385
Phone: (608) 839-3335
Fax: (608) 839-3336
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 9483-042 | Wisconsin |
| Suppliers / Long Term Care Pharmacy | 3336L0003X | 9483-042 | Wisconsin |
| Suppliers / Specialty Pharmacy | 3336S0011X | 9483-042 | Wisconsin |
Profile Details
| NPI number | 1508376682 |
|---|---|
| LBN Legal business name | Mabie Pharmacy, Llc |
| DBA Doing business as | Forward Pharmacy Of Cottage Grove |
| Authorized official | Mabie, Matthew Ryan RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 3rd, 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 | 1508376682 | NPPES |
| Wisconsin | Other | 9483-042 | STATE LICENSE NUMBER |
| Wisconsin | MEDICAID | 1508376682 | STATE LICENSE NUMBER |
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