Organization Name: | GRX HOLDINGS LLC |
NPI Number: | 1023044179 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GREGORY J JOHANSEN (OWNER / PRESIDENT) |
Mailing Address: | 10 Warrior Ln Waukee |
State: | IA US |
Postal Code: | 502639593 |
Phone Number: | 5159878111 |
Fax Number: | 5159878128 |
NPI Enumeration Date: | 06/23/2006 |
NPI Last Update Date: | 03/25/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |