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Organization
PURDUE UNIVERSITY
Active
Organization
PURDUE UNIVERSITY
Active
Parent organization
PURDUE UNIVERSITY
Other names
Purdue University Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
PURDUE UNIVERSITY
Authorized official
HANNAH CARROLL-ALTMAN JD (HIPAA PRIVACY OFFICER)
(765) 496-9059
Entity
Organization
Contact information
Practice address
575 STADIUM MALL DR, HEINE PHARMACY BLDG ROOM 118, WEST LAFAYETTE, IN 47907-2091
(765) 496-7728
(765) 496-6094
Mailing address
575 STADIUM MALL DR, HEINE PHARMACY BLDG ROOM 118, WEST LAFAYETTE, IN 47907-2091
(765) 496-7728
(765) 496-6094
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
60000341A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1514618
NABP
—
01
—
60000341A
HEALTH PROFESSIONS BUREAU
IN
Enumeration date
10/25/2005
Last updated
09/26/2025
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