Organization · Type 2 NPI

MSM Holdco, LLC

Community/Retail Pharmacy · Mishawaka, IN

NPI number 1366693665 Active

Practice location

314 N Ironwood Dr
Mishawaka, IN 46544-1543

Call (574) 254-2323 Map

Fax (574) 254-2320

Mailing address

1527 Momentum Place
Chicago, IL 60689-5315

Specialties and licenses

Taxonomy	Code	License
Community/Retail Pharmacy Primary	3336C0003X	60006166A (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 …

Another provider at this address

Jeffrey David Geibig, PharmDPharmacist Mishawaka, IN NPI 1235726720

Other community/retail pharmacy providers in Mishawaka

See all in Mishawaka →

NPI record

NPI: 1366693665
Entity type: Organization (Type 2)
Issued: Oct 6, 2008
Last updated: Jan 8, 2024
Status: Active

Other names

<unavail>
Martin's Pharmacy #2304 · doing business as
Martins Pharmacy #4 · doing business as
Martins Super Markets 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 1366693665

MSM Holdco, LLC's National Provider Identifier is 1366693665, issued on Oct 6, 2008. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Mishawaka, IN. The record was last updated on Jan 8, 2024.