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Organization

SOLACE NUTRITION, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
THOMAS CLOUGH (DIRECTOR)
(401) 497-7954
Entity
Organization

Contact information

Practice address
10 ALICE CT, PAWCATUCK, CT 06379-1383
(888) 876-5223
(401) 633-6066
Mailing address
10 ALICE CT, PAWCATUCK, CT 06379-1383
(888) 876-5223
(401) 633-6066

Taxonomy

Speciality
Code
Description
License number
State
335G00000X
Medical Foods Supplier
Primary

Other

Enumeration date
12/12/2016
Last updated
12/12/2016
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