MEDICARE: WFS HOME CARE ENTERPRISES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1982311999
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WFS HOME CARE ENTERPRISES INC

Provider Business Mailing Address
First Line	:	1504 SANTA ROSA RD RM 116B
Second Line	:
City	:	HENRICO
State	:	VA
Zip	:	23229-5109
Country	:	US
Telephone Number	:	804-210-3103
Fax Number	:

Provider Business Practice Location Address
First Line	:	1504 SANTA ROSA RD RM 116B
Second Line	:
City	:	HENRICO
State	:	VA
Zip	:	23229-5109
Country	:	US
Telephone Number	:	804-210-3103
Fax Number	:

Authorized Official
Title or Position	:	VP OF PHARMACY SERVICES
Name	:	DR. TABATHA NICOLE TALBOTT BONAS
Credential	:	PHARMD
Telephone Number	:	571-208-3303

Provider Enumeration Date	:	10/31/2022
Last Update Date	:	11/13/2023

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