NPI: 1497521751 · MONONA, WI 53716 · Community/Retail Pharmacy · NPI assigned 11/28/2023
| Authorized Official | MABIE, MATTHEW (OWNER) |
| NPI Enumeration Date | 11/28/2023 |
Other providers sharing the same authorized official: MABIE, MATTHEW
| Provider | City | State | Total Paid |
|---|---|---|---|
| MABIE PHARMACY, LLC | MC FARLAND | WI | $43K |
| MABIE PHARMACY, LLC | COTTAGE GROVE | WI | $23K |
| MABIE PHARMACY, LLC | COLUMBUS | WI | $5K |
| MABIE PHARMACY, LLC | DEERFIELD | WI | $2K |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 489 | $14K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A9150 | Non-prescription drugs | 489 | 39 | $14K |