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1265181432
RARE NUTRITION INC
FAYETTEVILLE, AR
NPI
1265181432
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Entity Type
Organization
Authorized Contact
MARK NICHOLAS MODLIN
CEO
816-261-3298
Organization Subpart ?
No
Primary Taxonomy
335G00000X Medical Foods Supplier
Enumeration Date
2022-03-23
Last Update Date
2022-03-23
Business Address
RARE NUTRITION INC
1366 S SPRITZ DR
FAYETTEVILLE, AR 72701-2615
Phone number: 816-261-3298
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Mailing Address
RARE NUTRITION INC
PO BOX 1606
FAYETTEVILLE, AR 72702-1606
Phone number: 816-261-3298
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