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
317 N MARKET ST, AUDUBON, IA 50025-7562
(712) 563-2655
(844) 944-3096
Mailing address
317 N MARKET ST, AUDUBON, IA 50025-7562
(712) 563-2655
(844) 944-3096
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
1502
—
3336C0003X
Community/Retail Pharmacy
Primary
1502
IA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Enumeration date
03/20/2014
Last updated
09/11/2025
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