| Dealer # | 796944 |
| Manufacturer # | 95604 |
| Brand | PhenylAde 60 |
| Manufacturer | Nutricia North America |
| Country of Origin | United States |
| Application | PKU Oral Supplement |
| Calories per Serving | 49 Calories |
| Container Size | 16.7 Gram |
| Container Type | Pouch |
| Flavor | Unflavored |
| NDC Number | 00847-0956-04 |
| Preparation | Powder |
| UNSPSC Code | 42231803 |
| User | Adult / Child |