# GRX HOLDINGS LLC

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

## Provider details

- **NPI number:** 1942052709
- **Authorized official:** MICHAEL FULLER (PRESIDENT)
- **Authorized official phone:** (515) 321-7644

## Contact information

- **Practice address:** 250 SE GATEWAY DR, GRIMES, IA 50111-2045
- **Practice address phone:** (515) 986-0101
- **Practice address fax:** (515) 986-3382
- **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