Organization
GRX HOLDINGS, LLC
Active
Other names
Medicap Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL FULLER (PRESIDENT)
(515) 321-7644
Entity
Organization
Contact information
Practice address
212 1ST ST N, NEWTON, IA 50208-3232
(641) 792-3528
(641) 792-3526
Mailing address
212 1ST ST N, NEWTON, IA 50208-3232
(641) 792-3528
(641) 792-3526
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1614
IA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Enumeration date
08/29/2017
Last updated
09/11/2025
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