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Organization
ACCREDO HEALTH GROUP INC
Active
Organization
ACCREDO HEALTH GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIC PERINI (ASSISTANT SECRETARY)
(314) 684-6924
Entity
Organization
Contact information
Practice address
1620 CENTURY CENTER PKWY, SUITE 109, MEMPHIS, TN 38134-8849
(901) 385-3600
(888) 302-1028
Mailing address
PO BOX 954041, SAINT LOUIS, MO 63195-0001
(901) 381-7141
(901) 261-6924
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
3946
TN
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0102997
—
NJ
05
—
0103012
—
NJ
05
—
02718770
—
NY
05
—
035891400
—
DC
05
—
0578625
—
IA
05
—
09753251
—
MS
05
—
09824589
—
MS
05
—
100245100C
—
KY
05
—
100245100C
—
OK
05
—
1007777870023
—
PA
05
—
113194005
—
WY
05
—
1346208949
—
MT
05
—
1455112
—
TN
05
—
158995407
—
AR
05
—
160980000
—
ME
05
—
188488300
—
MN
05
—
200445
—
IN
05
—
200494710A
—
IN
01
—
2095288
PK
—
05
—
21460
—
ND
05
—
2487385
—
OH
05
—
30703864
—
NH
05
—
4090811
—
TN
05
—
4094506-00
—
MD
05
—
4105365
—
TN
05
—
4436920
—
MI
05
—
4436920
—
TN
05
—
508187
—
HI
05
—
54008214
—
KY
05
—
6027692
—
WA
05
—
603030503
—
MO
05
—
806981800
—
ID
05
—
8095002
—
WA
05
—
8533812
—
SD
05
—
927957
—
AZ
05
—
99102048
—
NM
05
—
PH536TN
—
AK
Enumeration date
05/17/2007
Last updated
02/17/2025
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