# PINE PLAINS PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MATRAGRANO-ROBINSON PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417738865
- **Authorized official:** NASIR MAHMOOD (OWNER)
- **Authorized official phone:** (518) 398-5588

## Contact information

- **Practice address:** 2965 CHURCH ST, PINE PLAINS, NY 12567-5547
- **Practice address phone:** (518) 398-5588
- **Mailing address:** 2965 CHURCH ST, PINE PLAINS, NY 12567-5547
- **Mailing address phone:** (518) 398-5588

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 10/11/2023
- **Last updated:** 12/06/2024
