Organization
ACCREDO HEALTH GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIC PERINI (ASSISTANT SECRETARY)
(314) 684-6273
Entity
Organization
Contact information
Practice address
4901 W RENO, STE 950, OKLAHOMA CITY, OK 73127-6346
(405) 942-3961
(405) 949-2689
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
14749
OK
3336C0003X
Community/Retail Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100245100A
—
OK
05
—
100245100E
—
OK
05
—
133204407
—
AR
05
—
133205716
—
AR
01
—
2074595
PK
—
Enumeration date
05/28/2006
Last updated
12/05/2025
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