Organization · Type 2 NPI
Grass Roots Health Foods
Medical Foods Supplier · Eagle River, WI
NPI number
1679843700
Active
Practice location
3440 State Highway 70 E
Eagle River, WI 54521-9491
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Foods Supplier Primary | 335G00000X | None listed |
Medical Foods Supplier: A supplier of special replacement foods for clients with errors of metabolism that prohibit them from eating a regular diet. Medical foods are lacking in the compounds which cause complications of the metabolic disorder, and are not generally available in grocery stores, health food stores, or pharmacies.
About NPI 1679843700
Grass Roots Health Foods's National Provider Identifier is 1679843700, issued on Jan 5, 2012. The primary taxonomy on file is Medical Foods Supplier (335G00000X), and the practice location is in Eagle River, WI. The record was last updated on Jul 21, 2022.