Provider Demographics
NPI:1760480016
Name:PARMET INC
Entity Type:Organization
Organization Name:PARMET INC
Other - Org Name:METCALFE DRUGS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LONUS
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:FLENER
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:270-432-3051
Mailing Address - Street 1:PO BOX 215
Mailing Address - Street 2:
Mailing Address - City:EDMONTON
Mailing Address - State:KY
Mailing Address - Zip Code:42129-0215
Mailing Address - Country:US
Mailing Address - Phone:270-432-3051
Mailing Address - Fax:270-432-2682
Practice Address - Street 1:115 EAST STOCKTON ST
Practice Address - Street 2:
Practice Address - City:EDMONTON
Practice Address - State:KY
Practice Address - Zip Code:42129-9115
Practice Address - Country:US
Practice Address - Phone:270-432-3051
Practice Address - Fax:270-432-2682
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-11
Last Update Date:2011-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYP00398332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000070000OtherDME
KY7100174440Medicaid
KY0632290001Medicare NSC