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NPI 1336665827

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

Practice location

110 Van Houten Ave

Passaic, NJ 07055

Phone: (973) 955-4600

More NJ providers

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.

110 Van Houten LLC — NPI 1336665827, Passaic, NJ | NPI Central