Mabie Pharmacy, LLC
Organization Active NPI Community/Retail Pharmacy · Cottage Grove, WI
NPI 1295535755 · NPPES record last updated Jan 21, 2026
Key facts
- NPI
- 1295535755
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- MABIE PHARMACY, LLC
- Practice address
- 429 W Cottage Grove Rd
Cottage Grove, WI 53527-9385 - Phone
- (608) 839-3335
- NPI assigned
- Mar 14, 2025
- Organization subpart
- No
Authorized official
- Name
- Matthew Ryan Mabie
- Title
- Owner
- Phone
- (608) 839-3335
Corporate family (same tax ID) 6
National Provider Directory
- Tax ID family
- Mabie Pharmacy LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | |||
| Primary Care Clinic/Center | 261QP2300X | |||
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
429 W Cottage Grove Rd
Cottage Grove, WI 53527-9385
Mailing address
429 W Cottage Grove Rd
Cottage Grove, WI 53527-9385
Phone (608) 839-3335
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9483-042 | Other | WI | STATE LICENSE NUMBER |
Other names
- Forward Pharmacy of Cottage Grove
Other providers in Cottage Grove, WI
- Dylan Steven Ledford
- Melanie Leistikow
- Joann Long
- Kate A Louther
- M&M Courtesy Transportation LLC
- Mabie Pharmacy, LLC
- Matthew Ryan Mabie
- Dorothy Jill Mallory
- Masirey Home Care LLC
- Jennie MC Cann
All providers in Cottage Grove, WI · Community/Retail Pharmacy in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 21, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.