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Contact Information

110 VAN HOUTEN LLC
110 VAN HOUTEN AVE
PASSAIC, NJ07055
 Phone: 973-955-4600
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for 110 VAN HOUTEN LLC

NPI Number 1336665827
LBN Legal business name 110 VAN HOUTEN LLC
Authorized official ASHWIN PATEL - (PHARMACIST)
Entity Organization
Organization subpart 1 No
Enumeration date 08/17/2017
Last updated 05/10/2025 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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