# THE GOLUB CORPORATION

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

## Provider details

- **NPI number:** 1497768741
- **Authorized official:** SCOTT GUISINGER (VP OF PHARMACY)
- **Authorized official phone:** (518) 379-2409

## Contact information

- **Practice address:** 38 RUTLAND SHOPPING PLZ, RUTLAND, VT 05701-5201
- **Practice address phone:** (802) 747-7887
- **Practice address fax:** (802) 786-0926
- **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 | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 0380003206 | VT | Yes |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 08/15/2006
- **Last updated:** 10/30/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1004612 | — | VT |
| 01 | — | 2101598 | PK | — |