Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wishbone Enterprises LLC

Organization Pharmacist · NPI 1699781492

Wishbone Enterprises LLC is a Pharmacist in Lake Winola, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2006.

Licensed in
PA
In the registry since
2006
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

Route 307 Winola Plz
Lake Winola, PA 18625-2962
Phone: (570) 378-2885
Fax: (570) 378-2962
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence PP414435L (PA)
Pharmacist Taxonomy 183500000X · Licence PP414435L (PA)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X · Licence RP032206L (PA)

Record details

NPI number1699781492
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Peter Konicki — Pharmacy Owner · (570) 378-2885
Other names Winola Pharmacy
NPI enumeratedAugust 1, 2006
Last updated in NPPESMay 15, 2012
Mailing addressPo Box 279, Lake Winola, PA 18625-0279