Provider Demographics
NPI:1649584186
Name:AUGER, BRIAN P (RPH)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:P
Last Name:AUGER
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 RIO RANCHO DR SE
Mailing Address - Street 2:
Mailing Address - City:RIO RANCHO
Mailing Address - State:NM
Mailing Address - Zip Code:87124-1051
Mailing Address - Country:US
Mailing Address - Phone:505-892-1866
Mailing Address - Fax:505-892-3950
Practice Address - Street 1:1000 RIO RANCHO DR SE
Practice Address - Street 2:
Practice Address - City:RIO RANCHO
Practice Address - State:NM
Practice Address - Zip Code:87124-1051
Practice Address - Country:US
Practice Address - Phone:505-892-1866
Practice Address - Fax:505-892-3950
Is Sole Proprietor?:No
Enumeration Date:2010-07-26
Last Update Date:2010-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM5582183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist