# GRX HOLDINGS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Medicap Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164274924
- **Authorized official:** MICHAEL FULLER (PRESIDENT)
- **Authorized official phone:** (515) 321-7644

## Contact information

- **Practice address:** 2105 N 3RD LN, INDIANOLA, IA 50125-9724
- **Practice address phone:** (515) 961-5303
- **Practice address fax:** (515) 961-5964
- **Mailing address:** 2929 WESTOWN PKWY STE 100, WEST DES MOINES, IA 50266-1319
- **Mailing address phone:** (515) 280-2917

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 04/04/2024
- **Last updated:** 04/04/2024