| Mr Kevin Paul Pultorak, RPH | |
|
6610 Old Monroe Rd, Indian Trail, NC 28079-5351 | |
| (704) 289-1193 | |
| (704) 289-1662 |
| Full Name | Mr Kevin Paul Pultorak |
|---|---|
| Gender | Male |
| Speciality | Pharmacist |
| Location | 6610 Old Monroe Rd, Indian Trail, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093007601 | NPI | - | NPPES |
| 0905555 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | 12512 (North Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kevin Paul Pultorak, RPH 6610 Old Monroe Rd, Indian Trail, NC 28079-5351 Ph: (704) 289-1193 | Mr Kevin Paul Pultorak, RPH 6610 Old Monroe Rd, Indian Trail, NC 28079-5351 Ph: (704) 289-1193 |
Mr. Miguel A Bejarano, BS RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 2101 Younts Rd, Indian Trail, NC 28079 Phone: 704-882-6853 Fax: 704-882-7842 | |
Dr. Shannon N Moore, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 4300 Old Monroe Rd, Indian Trail, NC 28079 Phone: 704-821-6551 Fax: 704-821-6583 | |
Dr. Andrew Helms, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 6610 Old Monroe Rd, Indian Trail, NC 28079 Phone: 704-289-1193 | |
Tammy Lynn Moore, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 4300 Old Monroe Rd, Indian Trail, NC 28079 Phone: 704-821-6551 Fax: 704-821-5247 | |
Carrie L Griffiths, PHARM.D. Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 13720 Independence Blvd, Indian Trail, NC 28079 Phone: 704-604-2135 | |
Dr. Terry Alvin Devine Jr., PHARMD. Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 106 Indian Trail Rd S, Indian Trail, NC 28079 Phone: 704-821-7617 Fax: 704-821-0177 |