# GOLUB CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PRICE CHOPPER PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265800726
- **Authorized official:** KATHLEEN BRYANT (VP OF PHARMACY)
- **Authorized official phone:** (518) 379-1618

## Contact information

- **Practice address:** 2981 FORD STREET EXT, SUITE 9, OGDENSBURG, NY 13669-3474
- **Practice address phone:** (315) 393-7153
- **Practice address fax:** (866) 360-9325
- **Mailing address:** 461 NOTT ST, MB\#202, SCHENECTADY, NY 12308-1812
- **Mailing address phone:** (518) 379-1618
- **Mailing address fax:** (518) 356-6978

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 034221 | NY | Yes |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 09/14/2015
- **Last updated:** 02/15/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2154067 | PK | — |