Organization
ACCREDO HEALTH GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR JOSEPH PERINI (ASSISTANT SECRETARY)
(314) 847-0146
Entity
Organization
Contact information
Practice address
190 TECHNOLOGY PKWY STE 120, NORCROSS, GA 30092-2914
(770) 935-2510
(800) 554-5545
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
PHRE007812
GA
3336C0003X
Community/Retail Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003105376A
—
GA
05
—
00639042B
—
GA
01
—
2019054
PK
—
Enumeration date
05/04/2006
Last updated
05/06/2026
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