Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Msm Holdco, LLC

Organization Community/Retail Pharmacy · NPI 1629525738

Msm Holdco, LLC is a Community/Retail Pharmacy in Mishawaka, Indiana. Licensed in Indiana. Registered with an NPI since 2016.

Licensed in
IN
In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

611 E Douglas Rd Ste 104
Mishawaka, IN 46545-1480
Phone: (574) 247-1000
Fax: (574) 208-6020
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 60006269A (IN)

Record details

NPI number1629525738
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amy Ellis — Director Of Pharmacy · (616) 878-2848
Other names Martin'S Pharmacy #2389; Martin'S Pharmacy At Sjrmc; Martin'S Pharmacy At Sjrmc; Martin'S Super Markets Inc
NPI enumeratedSeptember 7, 2016
Last updated in NPPESDecember 7, 2023
Certification dateDecember 7, 2023
Mailing address1527 Momentum Place, Chicago, IL 60689-5315

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