Organization · Type 2 NPI

MSM Holdco, LLC

Community/Retail Pharmacy · Elkhart, IN

NPI number 1528397643 Active

Practice location

120 Sanford School Rd, Ste B
Elkhart, IN 46514

Call (574) 970-6470 Map

Mailing address

1527 Momentum Place
Chicago, IL 60689-5315

Specialties and licenses

Taxonomy	Code	License
Community/Retail Pharmacy Primary	3336C0003X	60006210A (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 Elkhart

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NPI record

NPI: 1528397643
Entity type: Organization (Type 2)
Issued: Dec 19, 2009
Last updated: Dec 7, 2023
Status: Active

Other names

<unavail>
Martin's Pharmacy #2315 · doing business as
Martins Pharmacy #15 · 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 1528397643

MSM Holdco, LLC's National Provider Identifier is 1528397643, issued on Dec 19, 2009. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Elkhart, IN. The record was last updated on Dec 7, 2023.