person
Mr. Kevin Paul Pultorak, RPH
Pharmacist in Indian Trail, North Carolina
NPI 1093007601

Kevin Paul Pultorak is a Pharmacist based in Indian Trail, NC. Kevin Paul Pultorak practices in Indian Trail, NC and has the professional credentials of RPH. The NPI Number for Kevin Paul Pultorak is 1093007601 and holds a License No. 12512 (North Carolina).

The current practice location address for Kevin Paul Pultorak is 6610 Old Monroe Rd, Indian Trail, NC and can be reached out via phone at 704-289-1193 and via fax at 704-289-1662.

Location: 6610 Old Monroe Rd, Indian Trail, NC, 28079-5351
person
Provider Profile Details
NPI Number
1093007601
Provider Name
Kevin Paul Pultorak
Credential
RPH
Provider Entity Type
Individual
Gender
Male
Address
6610 Old Monroe Rd, Indian Trail, NC, 28079-5351
Phone Number
704-289-1193
Fax Number
704-289-1662
Provider Enumeration Date
05/15/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0905555 05 NC
institution
Provider Business Practice Location Address Details
Address
6610 Old Monroe Rd
City
State
Zip
28079-5351
Phone Number
704-289-1193
Fax Number
704-289-1662
person
Provider Business Mailing Address Details
Address
6610 Old Monroe Rd
City
State
Zip
28079-5351
Phone Number
704-289-1193
Fax Number
704-289-1662
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
License No.
12512 (North Carolina)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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