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
15 PARK AVE, CLIFTON PARK, NY 12065-2927
(518) 373-8378
(518) 371-8457
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
024323
NY
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01922081
—
NY
01
—
2058144
PK
—
Enumeration date
08/15/2006
Last updated
07/22/2015
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