# GRX HOLDINGS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MEDICAP PHARMACY LTC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306913983
- **Authorized official:** MICHAEL FULLER (PRESIDENT)
- **Authorized official phone:** (515) 321-7644

## Contact information

- **Practice address:** 404 E EUCLID AVE, INDIANOLA, IA 50125-1730
- **Practice address phone:** (515) 962-9399
- **Practice address fax:** (515) 962-2202
- **Mailing address:** 404 E EUCLID AVE, INDIANOLA, IA 50125-1730
- **Mailing address phone:** (515) 962-9399
- **Mailing address fax:** (515) 962-2202

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 1309 | IA | — |
| 3336H0001X | Home Infusion Therapy Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 11/29/2006
- **Last updated:** 12/17/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1622871 | NCPDP | IA |