Organization
GRX HOLDINGS LLC
Active
Other names
Medicap Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY JAMES JOHANSEN (PRESIDENT)
(515) 491-9184
Entity
Organization
Contact information
Practice address
317 N MARKET ST, AUDUBON, IA 50025-7562
(712) 563-2655
(844) 944-3096
Mailing address
2929 WESTOWN PKWY STE 100, WEST DES MOINES, IA 50266-1319
(515) 280-2917
(515) 222-2658
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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