Organization
WISHBONE ENTERPRISES LLC
Active
Organization
WISHBONE ENTERPRISES LLC
Active
Other names
Konicki Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PETER KONICKI (PRESIDENT)
(570) 655-8610
Entity
Organization
Contact information
Practice address
278 MAIN ST, DUPONT, PA 18641-1960
(570) 655-8610
(570) 883-0488
Mailing address
278 MAIN ST, DUPONT, PA 18641-1960
(570) 655-8610
(570) 883-0488
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP410933L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007440510002
—
PA
01
—
3946893
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/27/2006
Last updated
08/16/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up