Computing binomial coefficients and factorials modulo a composite number

Does anyone know of a fast algorithm to compute factorials and/or binomial coefficients in general or modulo a composite number in particular (for composite moduli I am interested in the case where the factorization is not necessarily known) I know that for primes and factorials we can apply Wilson's Theorem but I was wondering if there is also a fast method for composite numbers. For binomial coefficients I was thinking of using recursion and the addition rule: $$\binom{n}{x} + \binom{n}{x+1} = \binom{n+1}{x+1}$$ somehow but I'm not sure really how to go about it. Any suggessions? Thanks.

If $p$ is prime and $n = n_\ell \ldots n_0$, $x = x_\ell \ldots x_0$ in base $p$, then (Lucas' theorem)
$$ \binom{n}{x} \equiv \binom{n_\ell}{x_\ell} \cdots \binom{n_0}{x_0} \pmod{p}. $$

For a product of distinct primes, you can apply the Chinese remainder theorem. So it remains to deal with prime powers. Such a method is described in this paper of Andrew Granville, though it's not as nice as the formula above.

StackExchange Computer Science Q#28606, answer score: 6