Wishbone Enterprises Llc in Lake Winola - Pharmacist
Wishbone Enterprises Llc - NPI 1699781492
Wishbone Enterprises Llc is a Pharmacist in Lake Winola, Pennsylvania. Wishbone Enterprises Llc practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Wishbone Enterprises Llc is 1699781492. The last update date is 2012-05-15.
Wishbone Enterprises Llc's current location address is Po Box 279, Lake Winola, Pennsylvania. You can contact this provider via phone number 5703782885 and fax number 5703782962. The mailing address for Wishbone Enterprises Llc is Po Box 279, Lake Winola, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Wishbone Enterprises Llc |
|---|---|
| Address | Po Box 279, Lake Winola, Pennsylvania |
| Phone Number | 5703782885 |
| Fax Number | 5703782962 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHARMACY O |
|---|---|
| Authorized Official Name | Konicki X Peter |
| Credentials | RPH |
| Telephone Number | 5703782885 |
NPI Number Detail
| NPI Number | 1699781492 |
|---|---|
| Provider Enumeration Date | 2006-08-01 |
| Last Updated Date | 2012-05-15 |
Provider Mailing Address Detail
| Address | Po Box 279 |
|---|---|
| City | Lake Winola |
| State | Pennsylvania (PA) |
| Post Code | 186250279 |
| Phone Number | 5703782885 |
| Fax Number | 5703782962 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | PP414435L |
|
Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3962330 | PA | NABP | |
| 1007440510001 | PA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Wishbone Enterprises Llc by the Centers for Medicare & Medicaid Services?
The Wishbone Enterprises Llc has been issued the NPI (National Provider Identifier) 1699781492. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Wishbone Enterprises Llc's facilities are situated?
The facilities of Wishbone Enterprises Llc are physically located at the following address: Po Box 279, Lake Winola, PA, 186250279.
What is the Wishbone Enterprises Llc's area of specialization and corresponding taxonomy classification?
The Wishbone Enterprises Llc's specialty field is Pharmacist, and it falls under the taxonomy code 183500000X, which categorizes healthcare providers based on their specialties.
When did Wishbone Enterprises Llc receive its 1699781492 assignment?
The Wishbone Enterprises Llc was assigned its 1699781492 on 2006-08-01, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Wishbone Enterprises Llc most recently updated or revised?
The information pertaining to Wishbone Enterprises Llc, including its address, specialty, and other relevant details, was last updated or revised on 2012-05-15.
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