Organization · Type 2 NPI

MSM Holdco, LLC

Community/Retail Pharmacy · Warsaw, IN

NPI number 1891003661 Active

Practice location

1150 Husky Trl
Warsaw, IN 46582-1952

Call (574) 371-9080 Map

Fax (574) 371-9081

Mailing address

1527 Momentum Place
Chicago, IL 60689-5315

Specialties and licenses

Taxonomy	Code	License
Community/Retail Pharmacy Primary	3336C0003X	60006233A (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

T Elaine Fair CrumpPharmacist Warsaw, IN NPI 1003403460

Other community/retail pharmacy providers in Warsaw

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NPI record

NPI: 1891003661
Entity type: Organization (Type 2)
Issued: Sep 15, 2010
Last updated: Dec 7, 2023
Status: Active

Other names

<unavail>
Martin's Pharmacy #2326 · doing business as
Martin's 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 1891003661

MSM Holdco, LLC's National Provider Identifier is 1891003661, issued on Sep 15, 2010. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Warsaw, IN. The record was last updated on Dec 7, 2023.