MEDICARE: THOMAS M BERINGER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	008099	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	KY008099	OTHER	KY	PHARMACIST

General Provider Information

NPI Number	:	1740875707
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS M BERINGER

Provider Business Mailing Address
First Line	:	PO BOX 990
Second Line	:
City	:	WARSAW
State	:	KY
Zip	:	41095-0990
Country	:	US
Telephone Number	:	850-567-4601
Fax Number	:

Provider Business Practice Location Address
First Line	:	102 W MAIN ST
Second Line	:
City	:	WARSAW
State	:	KY
Zip	:	41095-9300
Country	:	US
Telephone Number	:	850-567-4601
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/02/2021
Last Update Date	:	03/02/2021

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Directions to “ THOMAS M BERINGER ” Practice Location

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