Provider Demographics
NPI:1972503126
Name:PARMET INC
Entity Type:Organization
Organization Name:PARMET INC
Other - Org Name:METCALFE DRUG
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:FLENER
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:270-889-4009
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 E STOCKTON ST
Practice Address - Street 2:
Practice Address - City:EDMONTON
Practice Address - State:KY
Practice Address - Zip Code:42129-9432
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:2005-07-29
Last Update Date:2022-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336C0004X
KYP003983336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100174890Medicaid
2028663OtherPK