Organization · Type 2 NPI

MSM Holdco, LLC

Community/Retail Pharmacy · Goshen, IN

NPI number 1346319290 Active

Practice location

1527 Bashor Road
Goshen, IN 46528

Call (574) 533-5600 Map

Mailing address

1527 Momentum Place
Chicago, IL 60689-5315

Specialties and licenses

Taxonomy	Code	License
Community/Retail Pharmacy Primary	3336C0003X	60005914A (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 …

Other community/retail pharmacy providers in Goshen

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NPI record

NPI: 1346319290
Entity type: Organization (Type 2)
Issued: Nov 7, 2006
Last updated: Dec 7, 2023
Status: Active

Other names

<unavail>
Martin's Pharmacy #2324 · doing business as
Martin's Pharmacy #24 · doing business as
Martin's Pharmacy #24 · 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.

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About NPI 1346319290

MSM Holdco, LLC's National Provider Identifier is 1346319290, issued on Nov 7, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Goshen, IN. The record was last updated on Dec 7, 2023.