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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