Organization
GRX HOLDINGS, LLC
Active
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
2804 BEAVER AVE, DES MOINES, IA 50310-4038
(515) 277-3702
(515) 277-3703
Mailing address
2804 BEAVER AVE, DES MOINES, IA 50310-4038
(515) 277-3702
(515) 277-3703
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
1222
IA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1623520
NCPDP #
—
Enumeration date
10/17/2008
Last updated
12/17/2024
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