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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
1300 E 14TH ST, DES MOINES, IA 50316-2404
(515) 263-1782
(515) 263-8134
Mailing address
1300 E 14TH ST, DES MOINES, IA 50316-2404
(515) 263-1782
(515) 263-8134

Taxonomy

Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary

Other

Enumeration date
03/20/2025
Last updated
03/20/2025
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