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
2410 WARDLOW RD STE 101, CORONA, CA 92878-5192
(951) 737-2355
(951) 737-2553
Mailing address
PO BOX 954041, SAINT LOUIS, MO 63195-0001
(901) 381-7141
(901) 261-6924
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
50860
CA
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028499
—
OR
05
—
1952359150
—
MT
01
—
2126625
PK
—
05
—
240344
—
OR
05
—
508187
—
HI
05
—
6021265
—
WA
05
—
7331457
—
WA
05
—
808279200
—
ID
05
—
PHA462820
—
CA
Enumeration date
09/08/2010
Last updated
12/05/2025
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