| Dealer # | 796938 |
| Manufacturer # | 95414 |
| Brand | PhenylAde 40 |
| Manufacturer | Nutricia North America |
| Country of Origin | United States |
| Application | PKU Oral Supplement |
| Calories per Serving | 83 Calories |
| Container Size | 20 Gram |
| Container Type | Pouch |
| Flavor | Citrus Flavor |
| NDC Number | 00847-0954-14 |
| Preparation | Powder |
| UNSPSC Code | 42231803 |
| User | Adult / Child |