Organization · Type 2 NPI

MSM Holdco, LLC

Community/Retail Pharmacy · Plymouth, IN

NPI number 1366521189 Active

Practice location

865 E Jefferson St
Plymouth, IN 46563-1847

Call (574) 936-7334 Map

Fax (866) 528-5774

Mailing address

1527 Momentum Place
Chicago, IL 60689-5315

Specialties and licenses

Taxonomy	Code	License
Community/Retail Pharmacy Primary	3336C0003X	60005667A (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 Plymouth

See all in Plymouth →

NPI record

NPI: 1366521189
Entity type: Organization (Type 2)
Issued: Nov 3, 2006
Last updated: May 7, 2024
Status: Active

Other names

<unavail>
Martin's Pharmacy #22 · doing business as
Martin's Pharmacy #2322 · 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 1366521189

MSM Holdco, LLC's National Provider Identifier is 1366521189, issued on Nov 3, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Plymouth, IN. The record was last updated on May 7, 2024.