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

Shane Kortan, RPH

Individual provider Pharmacist · NPI 1609176551

Shane Kortan, RPH is a Pharmacist in Lake Havasu City, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2010
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

1650 McCulloch Blvd N
Lake Havasu City, AZ 86403-0961
Phone: (928) 855-9200
Fax: (928) 855-9664
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence S012216 (AZ)

Record details

NPI number1609176551
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorYes
NPI enumeratedOctober 26, 2010
Last updated in NPPESOctober 26, 2010

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