Contract Pharmacy Details

BERINGER DRUG CENTER
CH0452880 TRIAD HEALTH SYSTEM INC

Covered Entity Details

Entity Name

TRIAD HEALTH SYSTEM INC

Subdivision Name

TRIAD HEALTH SYSTEMS CHC

Type

HRSA-Funded Health Center

340B ID

CH0452880

Entity Address

441 US Highway 42 West
Warsaw, KY 41095-9323

Grant Number

H80CS08785

Participating Start Date

7/1/2008

Last Recertification Date

2/25/2025

Pharmacy Details

Pharmacy Name

BERINGER DRUG CENTER

Pharmacy Address

102 W MAIN ST STE A
WARSAW, KY 41095-9300

Pharmacy Comments

Contract Details

Approval Date

7/8/2015

Contract Begin Date

10/1/2015

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

12/30/2022
Pharmacy closed

Contacts

Covered Entity Signing Official

ADAM CRAFT, EXECUTIVE DIRECTOR
(859) 567-1271

Contract Pharmacy Representative

Thomas Beringer, owner
(859) 567-4601

Signed By Date

7/8/2015