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General NPI Number Information
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NPI Number | 1639182058
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Entity Type | Organization
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Legal Business Name | THE GOLUB CORPORATION
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Dates
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Enumeration Date | 08/15/2006
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Last Update Date | 10/30/2024
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Provider Practice Location Address
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Address Line | 10 GLENWOOD AVE
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City | BINGHAMTON
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State | NY
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Zip | 13905-2582
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Country | US
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Telephone | 607-770-1108
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Fax | 607-770-1976
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Provider Business Mailing Address
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Address Line | 461 NOTT ST MB#202
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City | SCHENECTADY
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State | NY
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Zip | 12308-1812
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Country | US
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Telephone | 518-379-1618
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Fax | 518-356-6978
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Authorized Official
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Title or Position | VP OF PHARMACY
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Name | SCOTT GUISINGER
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Credential | RPH
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Telephone | 518-379-2409
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 021465
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License Number State | NY
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