Healthcare Provider Details

I. General information

NPI: 1174617583
Provider Name (Legal Business Name): GRX HOLDINGS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 11/07/2025
Certification Date: 11/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1602 EDGINGTON AVE
ELDORA IA
50627-1626
US

IV. Provider business mailing address

1602 EDGINGTON AVE
ELDORA IA
50627-1626
US

V. Phone/Fax

Practice location:
  • Phone: 641-858-3567
  • Fax: 641-858-3189
Mailing address:
  • Phone: 641-858-3567
  • Fax: 641-858-3189

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number241
License Number StateIA

VIII. Authorized Official

Name: TANIKA STERLING
Title or Position: CPHT OPERATIONS COORDINATOR
Credential:
Phone: 515-280-2917