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
22623 68TH AVE S, KENT, WA 98032-1981
(253) 872-2121
(253) 872-5663
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
PHAR.CF.00004193
WA
3336C0003X
Community/Retail Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1006589
—
WA
05
—
1275589830
—
MT
05
—
170911
—
OR
01
—
2109525
PK
—
05
—
230030
—
OR
05
—
5602639
—
MT
05
—
6020218
—
WA
05
—
805937700
—
ID
05
—
805943300
—
ID
05
—
PH193WA
—
AK
Enumeration date
05/25/2006
Last updated
12/05/2025
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