Organization
GOLUB CORPORATION
Active
Other names
PRICE CHOPPER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN BRYANT (VP OF PHARMACY)
(518) 379-1122
Entity
Organization
Contact information
Practice address
33 CHENANGO BRIDGE RD, BINGHAMTON, NY 13901-1233
(607) 235-7243
(607) 771-6160
Mailing address
461 NOTT ST, MB#202, SCHENECTADY, NY 12308-1812
(518) 379-1618
(518) 356-6978
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
030889
NY
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2130830
PK
—
Enumeration date
06/22/2011
Last updated
04/26/2016
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