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Organization
ACCREDO HEALTH GROUP INC
Active
Organization
ACCREDO HEALTH GROUP INC
Active
Other names
ACCREDO HEALTH GROUP INC
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR JOSEPH PERINI (ASSISTANT SECRETARY)
(314) 847-0146
Entity
Organization
Contact information
Practice address
3488 S MAIN ST, SALT LAKE CITY, UT 84115-4419
(801) 832-0222
(801) 832-0333
Mailing address
PO BOX 954041, SAINT LOUIS, MO 63195-0001
(901) 381-7141
(901) 261-6924
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
55435331704
UT
3336C0003X
Community/Retail Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000201500
—
ID
05
—
000203800
—
ID
05
—
1902857501
—
UT
01
—
2100126
PK
—
05
—
268950
—
OR
Enumeration date
05/16/2006
Last updated
05/06/2026
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