Organization
110 VAN HOUTEN LLC
Active
Other names
DAS Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ASHWIN PATEL (PIC)
(973) 955-4600
Entity
Organization
Contact information
Practice address
110 VAN HOUTEN AVE, PASSAIC, NJ 07055-4602
(973) 955-4600
Mailing address
110 VAN HOUTEN AVE, PASSAIC, NJ 07055-4602
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
05/20/2025
Last updated
05/20/2025
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