Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Kevin Paul Pultorak, RPH

Individual provider Pharmacist · NPI 1093007601

Mr. Kevin Paul Pultorak, RPH is a Pharmacist in Indian Trail, North Carolina. Licensed in North Carolina. Registered with an NPI since 2011.

Licensed in
NC
In the registry since
2011
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

6610 Old Monroe Rd
Indian Trail, NC 28079-5351
Phone: (704) 289-1193
Fax: (704) 289-1662
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 12512 (NC)

Record details

NPI number1093007601
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorNo
NPI enumeratedMay 15, 2011
Last updated in NPPESMay 15, 2011

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