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Organization
THE GOLUB CORPORATION
Active
Organization
THE GOLUB CORPORATION
Active
Other names
PRICE CHOPPER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT GUISINGER (VP OF PHARMACY)
(518) 379-2409
Entity
Organization
Contact information
Practice address
CORTLAND CROSSING SHOPPING CTR, 854 STATE ROUTE 13, CORTLAND, NY 13045
(607) 756-0421
(607) 756-4389
Mailing address
461 NOTT ST, MB#202, SCHENECTADY, NY 12308-1812
(518) 379-1618
(518) 356-6978
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
024932
NY
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02131208
—
NY
01
—
2062732
PK
—
Enumeration date
08/17/2006
Last updated
09/28/2023
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