OrganizationActive
110 Van Houten LLC
NPI 1336665827 · Community/Retail Pharmacy · Passaic, NJ
Provider details
- NPI number
- 1336665827
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Authorized official
- Ashwin Patel, Pharmacist
Mailing address
110 Van Houten Ave
Passaic, NJ 07055-4602
Registry dates
- Enumerated
- 2017-08-17
- Last updated
- 2025-05-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.