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Contact Information

MABIE PHARMACY, LLC
5711 MONONA DR
MONONA, WI53716
 Phone: 608-221-8151
 Fax: 608-221-4682
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for MABIE PHARMACY, LLC

NPI Number 1497521751
LBN Legal business name MABIE PHARMACY, LLC
Authorized official MATTHEW MABIE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/28/2023
Last updated 09/12/2025 - About 9 months ago
Identifiers
WI Other 10154-42 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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