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
305 W WALNUT ST, OGDEN, IA 50212-3048
(515) 432-2311
(515) 432-8562
Mailing address
305 W WALNUT ST, OGDEN, IA 50212-3048
(515) 432-2311
(515) 432-8562
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1586
IA
3336L0003X
Long Term Care Pharmacy
1586
—
Other
Enumeration date
10/18/2016
Last updated
03/23/2026
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