School Sisters of Notre Dame Central Pacific Province, Inc.

NPI #1992079891 in Elm Grove, Wisconsin

Provider Information

NPI Number: 1992079891
Entity Type: Organization
Organization Name: School Sisters of Notre Dame Central Pacific Province, Inc.
Primary Specialty: Non-Pharmacy Dispensing Site
Enumeration Date: Feb 24, 2012
Last Updated: Sep 25, 2012

Practice Location

Address: 13105 WATERTOWN PLANK RD
City: Elm Grove
State: Wisconsin
ZIP Code: 53122-2213
Phone: (262) 782-9850

Authorized Official

Name: DANA RUSSART
Title: CFO
Phone: (262) 782-9850

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Non-Pharmacy Dispensing Site	332900000X	Primary

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