Provider Demographics
NPI:1184250623
Name:FRANCISCAN ALLIANCE, INC.
Entity type:Organization
Organization Name:FRANCISCAN ALLIANCE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP PHARMACY SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:BLAZO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:574-254-6252
Mailing Address - Street 1:12750 SAINT FRANCIS DRIVE
Mailing Address - Street 2:
Mailing Address - City:CROWN POINT
Mailing Address - State:IN
Mailing Address - Zip Code:46307
Mailing Address - Country:US
Mailing Address - Phone:219-681-6814
Mailing Address - Fax:219-681-6815
Practice Address - Street 1:12750 SAINT FRANCIS DR
Practice Address - Street 2:
Practice Address - City:CROWN POINT
Practice Address - State:IN
Practice Address - Zip Code:46307-0264
Practice Address - Country:US
Practice Address - Phone:219-681-6814
Practice Address - Fax:219-681-6815
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRANCISCAN ALLIANCE, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-03-17
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy