MEDICARE: A & GRX INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy	60005749	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1536688	OTHER	IN	NCPDP
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1508859414
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A & GRX INC

Provider Business Mailing Address
First Line	:	939 VETERANS DR
Second Line	:	SUITE B
City	:	NORTH VERNON
State	:	IN
Zip	:	47265-2602
Country	:	US
Telephone Number	:	812-352-9700
Fax Number	:	812-352-9702

Provider Business Practice Location Address
First Line	:	939 VETERANS DR
Second Line	:	SUITE B
City	:	NORTH VERNON
State	:	IN
Zip	:	47265-2602
Country	:	US
Telephone Number	:	812-352-9700
Fax Number	:	812-352-9702

Authorized Official
Title or Position	:	OWNER/PHARMACIST
Name	:	GAIL M MINNICK
Credential	:	R.PH
Telephone Number	:	812-352-9700

Provider Enumeration Date	:	08/25/2005
Last Update Date	:	03/07/2023

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Directions to “A & GRX INC ” Practice Location

Language	Start Address	Practice Location

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