Provider Demographics
NPI:1407877467
Name:WELLFOUNT CORPORATION
Entity Type:Organization
Organization Name:WELLFOUNT CORPORATION
Other - Org Name:WELLFOUNT CORP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:SOLHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-524-1515
Mailing Address - Street 1:5751 W 73RD ST
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46278-1741
Mailing Address - Country:US
Mailing Address - Phone:317-524-1515
Mailing Address - Fax:844-325-7228
Practice Address - Street 1:5751 W 73RD ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46278-1741
Practice Address - Country:US
Practice Address - Phone:317-524-1515
Practice Address - Fax:317-552-1101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-22
Last Update Date:2019-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
183500000X, 333600000X, 3336L0003X
IN600059333336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
No333600000XSuppliersPharmacyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
2025360OtherPK
IN1560475OtherNCPDP
IN200805950AMedicaid
OH2687810Medicaid