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
511 SHUTT STREET, MIDDLETOWN, NY 10940
(845) 344-0327
(845) 344-0329
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
021393
NY
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01346996
—
NY
01
—
2063868
PK
—
Enumeration date
08/15/2006
Last updated
07/22/2015
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