# 110 VAN HOUTEN LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DAS Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306638051
- **Authorized official:** ASHWIN PATEL (PIC)
- **Authorized official phone:** (973) 955-4600

## Contact information

- **Practice address:** 110 VAN HOUTEN AVE, PASSAIC, NJ 07055-4602
- **Practice address phone:** (973) 955-4600
- **Mailing address:** 110 VAN HOUTEN AVE, PASSAIC, NJ 07055-4602

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 05/20/2025
- **Last updated:** 05/20/2025