Organization · Type 2 NPI

Purdue University

Pharmacy · West Lafayette, IN

NPI number 1700876489 Active

Practice location

575 Stadium Mall Dr, Heine Pharmacy Bldg Room 118
West Lafayette, IN 47907-2091

Fax (765) 496-6094

Specialties and licenses

Taxonomy	Code	License
Pharmacy Primary	333600000X	60000341A (IN)

Pharmacy: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is lo…

18 other providers at this address

Other pharmacy providers in West Lafayette

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NPI record

NPI: 1700876489
Entity type: Organization (Type 2)
Issued: Oct 25, 2005
Last updated: Sep 26, 2025
Status: Active
Subpart: Yes of Purdue University

Other names

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Purdue University Pharmacy · doing business as

Authorized official

Hannah Carroll-Altman, JD
Hipaa Privacy Officer
(765) 496-9059

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About NPI 1700876489

Purdue University's National Provider Identifier is 1700876489, issued on Oct 25, 2005. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in West Lafayette, IN. The record was last updated on Sep 26, 2025.