Price Chopper Pharmacy #179
LBN: The Golub Corporation
Price Chopper Pharmacy #179 is an health care organization with primary practice located at 50 Cambridge St , Worcester MA 01610. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
The Golub Corporation can be contacted via phone (508) 363-4570, or through Guisinger, Scott via phone (518) 379-1618.
Contact Information
Primary practice address
50 Cambridge St
Worcester MA 01610
Phone: (508) 363-4570
Fax: (508) 363-4977
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | DS3270 | Massachusetts |
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1063525574 |
|---|---|
| LBN Legal business name | The Golub Corporation |
| DBA Doing business as | Price Chopper Pharmacy #179 |
| Authorized official | Guisinger, Scott |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 17th, 2006 |
| Last updated | Jul 29th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063525574 | NPPES |
| Other | 2039235 | PK | |
| MEDICAID | 0401510 | PK |
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