Organization
ACCREDO HEALTH GROUP INC
Active
Other names
ACCREDO HEALTH GROUP INC
Organization subpart
No
Provider details
NPI number
Authorized official
VIC PERINI (ASSISTANT SECRETARY)
(314) 684-6273
Entity
Organization
Contact information
Practice address
4343 W ROYAL LN, STE 124, IRVING, TX 75063-2324
(972) 929-6800
(972) 929-6945
Mailing address
PO BOX 954041, SAINT LOUIS, MO 63195-7568
(901) 381-7141
(901) 261-6924
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
22254
TX
3336C0003X
Community/Retail Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
151917501
—
TX
05
—
151917504
—
TX
05
—
151917505
—
TX
05
—
151917506
—
TX
05
—
159765001
—
TX
05
—
159765002
—
TX
01
—
2097264
PK
—
05
—
320242
—
TX
Enumeration date
05/25/2006
Last updated
12/05/2025
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