Organization
THE GOLUB CORPORATION
Active
Other names
MARKET 32 PHARMACY #249
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT GUISINGER (VP OF PHARMACY)
(518) 379-1618
Entity
Organization
Contact information
Practice address
354 BROADWAY, FORT EDWARD, NY 12828-1207
(518) 832-6238
(844) 674-1436
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
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2165740
PK
—
Enumeration date
10/05/2016
Last updated
07/30/2023
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