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Contact Information

BLUMON CORPORATION
109 W MAIN ST # 69
CAMBRIDGE, WI53523-9141
 Phone: 608-423-3231
 Fax: 608-423-7128
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for BLUMON CORPORATION

NPI Number 1376693614
LBN Legal business name BLUMON CORPORATION
Authorized official MATT MABIE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/11/2007
Last updated 08/29/2025 - About 9 months ago
Identifiers
WI License # 7530-42
OK Medicaid 33211000
WI Medicaid 1376693614
Other 2114772 PK
WI Other 7530-42 STATE LICENSE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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