# 110 VAN HOUTEN LLC

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

## Provider details

- **NPI number:** 1336665827
- **Authorized official:** ASHWIN PATEL (RPIC)
- **Authorized official phone:** (973) 955-4600

## Contact information

- **Practice address:** 110 VAN HOUTEN AVE, PASSAIC, NJ 07055
- **Practice address phone:** (973) 955-4600
- **Mailing address:** 110 VAN HOUTEN AVE, PASSAIC, NJ 07055-4602
- **Mailing address phone:** (973) 955-4600
- **Mailing address fax:** (973) 955-2165

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 08/17/2017
- **Last updated:** 06/19/2026
