Organization
A & GRX INC
Active
Other names
Medicap Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
GAIL M MINNICK R.PH (OWNER/PHARMACIST)
(812) 352-9700
Entity
Organization
Contact information
Practice address
939 VETERANS DR, SUITE B, NORTH VERNON, IN 47265-2602
(812) 352-9700
(812) 352-9702
Mailing address
939 VETERANS DR, SUITE B, NORTH VERNON, IN 47265-2602
(812) 352-9700
(812) 352-9702
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
60005749
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1536688
NCPDP
IN
05
—
200443630A
—
IN
Enumeration date
08/25/2005
Last updated
03/07/2023
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