Organization
GOLUB CORPORATION
Active
Other names
PRICE CHOPPER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN BRYANT (VP OF PHARMACY)
(518) 379-1618
Entity
Organization
Contact information
Practice address
2981 FORD STREET EXT, SUITE 9, OGDENSBURG, NY 13669-3474
(315) 393-7153
(866) 360-9325
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
Primary
034221
NY
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2154067
PK
—
Enumeration date
09/14/2015
Last updated
02/15/2017
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