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Kevin Pultorak, RPH
NPI 1093007601 · on the registry since 2011
Practice
- Address
- 6610 Old Monroe Rd
Indian Trail, NC 28079 - Phone
- (704) 289-1193
- Fax
- (704) 289-1662
- Organisation at this address
- Harris Teeter Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Pharmacist
183500000X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-05-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina