MR. Kevin Paul Pultorak, RPH

NPI #1093007601 in Indian Trail, North Carolina

Provider Information

NPI Number: 1093007601
Entity Type: Individual
Name: MR. Kevin Paul Pultorak, RPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: May 15, 2011
Last Updated: May 15, 2011

Practice Location

Address: 6610 OLD MONROE RD
City: Indian Trail
State: North Carolina
ZIP Code: 28079-5351
Phone: (704) 289-1193

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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