Pontus Healthcare INC
Pharmacy, Community/Retail Pharmacy in Wilmington, CA. Organization (NPI-2).
NPI number1366084063
StatusActive
Last updated in NPPESOct 29, 2026
Details
- NPI
- 1366084063
- Entity type
- Organization (NPI-2)
- Legal business name
- Pontus Healthcare INC
- Organization subpart
- No
- Enumeration date
- Oct 14, 2019
- Certification date
- Jan 20, 2023
- Last updated
- Oct 29, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
Other names
- 986 Pharmacy #8011 (Doing Business As)
Practice location
1203 N Avalon BlvdSte A
Wilmington, CA 90744-2646
Phone 310-549-1000 · Fax 310-549-7000
Mailing address
2476 Huntington DrSan Marino, CA 91108-2643
Phone 626-399-0278 · Fax 626-399-0421
Authorized official
Khanh-Long Thai
Ceo
3105491000
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