Healthcare Provider Details

I. General information

NPI: 1396668323
Provider Name (Legal Business Name): WELL CARE PHARMACY COMPANY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13137 RIVERS BEND BLVD
CHESTER VA
23836-2699
US

IV. Provider business mailing address

13137 RIVERS BEND BLVD
CHESTER VA
23836-2699
US

V. Phone/Fax

Practice location:
  • Phone: 804-681-0072
  • Fax: 844-440-1960
Mailing address:
  • Phone: 804-681-0072
  • Fax: 844-440-1960

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: GAUTAM TALWAR
Title or Position: PRESIDENT
Credential:
Phone: 804-681-0072