Provider Demographics
NPI:1841740610
Name:THE GOLUB CORPORATION
Entity Type:Organization
Organization Name:THE GOLUB CORPORATION
Other - Org Name:MARKET 32 PHARMACY #249
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP OF PHARMACY
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:GUISINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-379-1618
Mailing Address - Street 1:461 NOTT ST
Mailing Address - Street 2:MB#202
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12308-1812
Mailing Address - Country:US
Mailing Address - Phone:518-379-1618
Mailing Address - Fax:518-356-6978
Practice Address - Street 1:354 BROADWAY
Practice Address - Street 2:
Practice Address - City:FORT EDWARD
Practice Address - State:NY
Practice Address - Zip Code:12828-1207
Practice Address - Country:US
Practice Address - Phone:518-832-6238
Practice Address - Fax:844-674-1436
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-05
Last Update Date:2023-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2165740OtherPK