Solace Nutrition, LLC

NPI #1407390388 in Pawcatuck, Connecticut

Provider Information

NPI Number: 1407390388
Entity Type: Organization
Organization Name: Solace Nutrition, LLC
Primary Specialty: Medical Foods Supplier
Enumeration Date: Dec 12, 2016
Last Updated: Dec 12, 2016

Practice Location

Address: 10 ALICE CT
City: Pawcatuck
State: Connecticut
ZIP Code: 06379-1383
Phone: (888) 876-5223

Authorized Official

Name: THOMAS CLOUGH
Title: DIRECTOR
Phone: (401) 497-7954

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Medical Foods Supplier	335G00000X	Primary

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