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Contact Information

GRX HOLDINGS LLC
404 E EUCLID AVE
INDIANOLA, IA50125-1730
 Phone: 515-962-9399
 Fax: 515-962-2202
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Home Infusion Therapy Pharmacy

3336H0001X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for GRX HOLDINGS LLC

NPI Number 1306913983
LBN Legal business name GRX HOLDINGS LLC
Authorized official MICHAEL FULLER - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/29/2006
Last updated 12/17/2024 - More than a year ago
Identifiers
IA License # 1309
IA Other 1622871 NCPDP
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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