Organization
PURDUE UNIVERSITY
Active
Other names
Teaching Hospital Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
WILSON GWIN (DIRECTOR)
(765) 494-7622
Entity
Organization
Contact information
Practice address
625 HARRISON ST, WEST LAFAYETTE, IN 47907-2026
(765) 494-7622
(765) 496-2569
Mailing address
625 HARRISON ST, WEST LAFAYETTE, IN 47907-2026
(765) 494-7622
(765) 496-2569
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
—
—
3336I0012X
Institutional Pharmacy
Primary
6000923A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1562671
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
04/28/2009
Last updated
01/15/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us