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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
241 N COMRIE AVE, JOHNSTOWN, NY 12095-1501
(518) 736-2426
(518) 736-9822
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
031544
NY
3336S0011X
Specialty Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2136400
PK
Enumeration date
08/15/2012
Last updated
07/22/2015
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