Organization
BERINGER DRUG STORE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA DOROTHY LONG (V.P.)
(386) 698-3737
Entity
Organization
Contact information
Practice address
102 W MAIN ST, SUITE A, WARSAW, KY 41095-9300
(859) 567-4678
(859) 567-4674
Mailing address
102 W MAIN ST, SUITE A, WARSAW, KY 41095-9300
(859) 567-4678
(859) 567-4674
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
P06107
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4582049
—
TN
05
—
54033196
—
KY
05
—
90020397
—
KY
Enumeration date
12/22/2005
Last updated
08/22/2020
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