NPI 1265181432

Rare Nutrition INC

Organisation Medical Foods Supplier Fayetteville, AR

Practice location

Address: 1366 S Spritz Dr, Fayetteville, AR 72701-2615
Phone: (816) 261-3298
Mailing address: PO Box 1606, Fayetteville, AR 72702-1606

Authorised official

Name: Mark Nicholas Modlin
Title: Ceo
Phone: (816) 261-3298

Registered specialties

Medical Foods Supplier Primary

Suppliers Taxonomy 335G00000X

Other Medical Foods Supplier providers in Arkansas →

Registry record

NPI: 1265181432
Entity type: Organization
NPI issued: 23 Mar 2022
Record last updated: 23 Mar 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.