| Dealer # | 788811 |
| Manufacturer # | 95501 |
| Brand | PhenylAde PheBloc LNAA |
| Manufacturer | Nutricia North America |
| Country of Origin | United States |
| Application | PKU Oral Supplement |
| Container Size | 550 per Bottle |
| Container Type | Jar |
| Flavor | Unflavored |
| NDC Number | 00847-0955-01 |
| Preparation | Tablet |
| UNSPSC Code | 42231803 |
| User | Adult / Child |