Organization
THE GOLUB CORPORATION
Active
Other names
PRICE CHOPPER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT GUISINGER (VP PHARMACY)
(518) 379-1618
Entity
Organization
Contact information
Practice address
72 PULLMAN ST, WORCESTER, MA 01606-3311
(508) 854-8318
(508) 854-8091
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
3324
MA
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0400050
—
MA
01
—
2039354
PK
—
Enumeration date
08/17/2006
Last updated
09/26/2023
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