Martin'S Super Market Inc.

LBN: Msm Holdco, Llc
Martin'S Super Market Inc. is an health care organization with primary practice located at 865 E Jefferson St , Plymouth IN 46563-1847. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Msm Holdco, Llc can be contacted via phone (574) 936-7334, or through Ellis, Amy via phone (616) 878-2848.

Contact Information

Primary practice address
865 E Jefferson St Plymouth IN 46563-1847
Phone: (574) 936-7334
Fax: (866) 528-5774
Website:
Map and Directions
Authorized official contact:
Name: Ellis, Amy RPH
Phone: (616) 878-2848

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 60005667A Indiana

Profile Details

NPI number 1366521189
LBN Legal business name Msm Holdco, Llc
DBA Doing business as Martin'S Super Market Inc.
Authorized official Ellis, Amy RPH
Entity Organization
Organization subpart 1 No
Enumeration date Nov 3rd, 2006
Last updated May 7th, 2024 - about 6 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366521189 NPPES
Indiana MEDICAID 200377010A

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