Martins Super Markets Inc

LBN: Msm Holdco, Llc
Martins Super Markets Inc is an health care organization with primary practice located at 314 N Ironwood Dr , Mishawaka IN 46544-1543. 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) 254-2323, or through Ellis, Amy via phone (616) 878-2848.

Contact Information

Primary practice address
314 N Ironwood Dr Mishawaka IN 46544-1543
Phone: (574) 254-2323
Fax: (574) 254-2320
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 60006166A Indiana

Profile Details

NPI number 1366693665
LBN Legal business name Msm Holdco, Llc
DBA Doing business as Martins Super Markets Inc
Authorized official Ellis, Amy RPH
Entity Organization
Organization subpart 1 No
Enumeration date Oct 6th, 2008
Last updated Jan 8th, 2024 - about 8 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 1366693665 NPPES
Other 1562330 NCPDP PROVIDER IDENTIFICATION NUMBER

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