NPI | 1740056001 |
---|---|
Doing Business As | FORWARD PHARMACY OF MONONA LTC |
Entity Type | Organization |
Authorized Contact | MATTHEW RYAN MABIE Owner 608-347-5420 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Enumeration Date | 2023-11-28 |
Last Update Date | 2025-09-12 |