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
650 W GRAND AVE, STE 102, ELMHURST, IL 60126-1043
(630) 279-7390
(630) 279-8464
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
054013616
IL
3336C0003X
Community/Retail Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200394
—
IN
05
—
200399970A
—
IN
01
—
2023499
PK
—
05
—
33262900
—
WI
Enumeration date
05/15/2006
Last updated
12/05/2025
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