Healthcare Provider Details

I. General information

NPI: 1982958997
Provider Name (Legal Business Name): GRX HOLDINGS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/30/2012
Last Update Date: 09/08/2025
Certification Date: 09/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 SW 7TH ST SUITE A
STUART IA
50250-2164
US

IV. Provider business mailing address

PO BOX 159
STUART IA
50250-0159
US

V. Phone/Fax

Practice location:
  • Phone: 515-523-1525
  • Fax: 515-523-1451
Mailing address:
  • Phone: 515-523-1525
  • Fax: 515-523-1451

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 StateIA
# 3
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL FULLER
Title or Position: PRESIDENT
Credential:
Phone: 515-321-7644