Organization · Type 2 NPI

MSM Holdco, LLC

Community/Retail Pharmacy · Granger, IN

NPI number 1225220528 Active

Practice location

12850 State Road 23
Granger, IN 46530-7183

Call (574) 807-8234 Map

Fax (574) 807-8232

Mailing address

1527 Momentum Place
Chicago, IL 60689-5315

Specialties and licenses

Taxonomy	Code	License
Community/Retail Pharmacy Primary	3336C0003X	60006073A (IN)

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

2 other providers at this address

Other community/retail pharmacy providers in Granger

See all in Granger →

NPI record

NPI: 1225220528
Entity type: Organization (Type 2)
Issued: Aug 10, 2007
Last updated: Jan 8, 2024
Status: Active

Other names

<unavail>
Martin's Pharmacy #16 · doing business as
Martin's Pharmacy #2316 · doing business as
Martin's Super Market, Inc. · former legal business name

Authorized official

Amy Ellis, RPH
Director of Pharmacy
(616) 878-2848

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1225220528

MSM Holdco, LLC's National Provider Identifier is 1225220528, issued on Aug 10, 2007. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Granger, IN. The record was last updated on Jan 8, 2024.