Provider Demographics
NPI:1912357393
Name:AUGER, KYLIE MARIE (PHARMD)
Entity Type:Individual
Prefix:
First Name:KYLIE
Middle Name:MARIE
Last Name:AUGER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:KYLIE
Other - Middle Name:MARIE
Other - Last Name:MOSER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:1732 WASHINGTON ST N
Mailing Address - Street 2:
Mailing Address - City:TWIN FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83301-5564
Mailing Address - Country:US
Mailing Address - Phone:208-733-1166
Mailing Address - Fax:208-733-1963
Practice Address - Street 1:1732 WASHINGTON ST N
Practice Address - Street 2:
Practice Address - City:TWIN FALLS
Practice Address - State:ID
Practice Address - Zip Code:83301-5564
Practice Address - Country:US
Practice Address - Phone:208-733-1166
Practice Address - Fax:208-733-1963
Is Sole Proprietor?:No
Enumeration Date:2016-06-16
Last Update Date:2016-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDP7535183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist