Organization
GRX HOLDINGS, LLC
Active
Other names
Midwest Compounding
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL FULLER (PRESIDENT)
(515) 321-7644
Entity
Organization
Contact information
Practice address
9379 SWANSON BLVD STE E, CLIVE, IA 50325-6942
(515) 962-9314
(515) 219-7700
Mailing address
9379 SWANSON BLVD STE E, CLIVE, IA 50325-6942
(515) 962-9314
(515) 219-7700
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
1105
IA
Other
Enumeration date
04/24/2012
Last updated
12/17/2024
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