# SCHOOL SISTERS OF NOTRE DAME CENTRAL PACIFIC PROVINCE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992079891
- **Authorized official:** DANA RUSSART (CFO)
- **Authorized official phone:** (262) 782-9850

## Contact information

- **Practice address:** 13105 WATERTOWN PLANK RD, ELM GROVE, WI 53122-2213
- **Practice address phone:** (262) 782-9850
- **Practice address fax:** (262) 784-9788
- **Mailing address:** 13105 WATERTOWN PLANK RD, ELM GROVE, WI 53122-2213
- **Mailing address phone:** (262) 782-9850
- **Mailing address fax:** (262) 784-9788

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | WI | Yes |

## Other

- **Enumeration date:** 02/24/2012
- **Last updated:** 09/25/2012