Healthcare Provider Details

I. General information

NPI: 1104121722
Provider Name (Legal Business Name): AUGRES PHARMACY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2011
Last Update Date: 03/05/2025
Certification Date: 03/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

212 E. SAGINAW ST.
AU GRES MI
48703
US

IV. Provider business mailing address

PO BOX 1150
AU GRES MI
48703-1150
US

V. Phone/Fax

Practice location:
  • Phone: 989-876-8899
  • Fax: 989-876-6816
Mailing address:
  • Phone: 989-876-8899
  • Fax: 989-876-6816

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: TERESA JEAN SPIES
Title or Position: MEMBER
Credential:
Phone: 989-876-8899