Healthcare Provider Details

I. General information

NPI: 1205777893
Provider Name (Legal Business Name): GRX HOLDINGS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2026
Last Update Date: 04/06/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

621 BROAD ST
STORY CITY IA
50248-1200
US

IV. Provider business mailing address

621 BROAD ST
STORY CITY IA
50248-1200
US

V. Phone/Fax

Practice location:
  • Phone: 515-733-2233
  • Fax:
Mailing address:
  • Phone: 515-733-2233
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

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