Organization
SCHOOL SISTERS OF NOTRE DAME CENTRAL PACIFIC PROVINCE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA RUSSART (CFO)
(262) 782-9850
Entity
Organization
Contact information
Practice address
13105 WATERTOWN PLANK RD, ELM GROVE, WI 53122-2213
(262) 782-9850
(262) 784-9788
Mailing address
13105 WATERTOWN PLANK RD, ELM GROVE, WI 53122-2213
(262) 782-9850
(262) 784-9788
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
WI
Other
Enumeration date
02/24/2012
Last updated
09/25/2012
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