Wishbone Enterprises LLC
NPI #1497846000 in Dupont, Pennsylvania
Provider Information
- NPI Number
- 1497846000
- Entity Type
- Organization
- Organization Name
- Wishbone Enterprises LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Sep 27, 2006
- Last Updated
- Aug 16, 2010
Practice Location
- Address
- 278 MAIN ST
- City
- Dupont
- State
- Pennsylvania
- ZIP Code
- 18641-1960
- Phone
- (570) 655-8610
Authorized Official
- Name
- PETER KONICKI
- Title
- PRESIDENT
- Phone
- (570) 655-8610
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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