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) 684-6924
Entity
Organization
Contact information
Practice address
3000 ERICSSON DR, SUITE 100, WARRENDALE, PA 15086-6501
(724) 772-6000
(724) 742-2450
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
PP415423L
PA
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000847007
—
DE
05
—
000201600
—
ID
05
—
0014681
—
NJ
05
—
0014699
—
NJ
05
—
003097591
—
CT
05
—
003140233
—
CT
05
—
018650500
—
DC
05
—
02364978
—
NY
05
—
0397489
—
PA
05
—
1000016072
—
DE
05
—
100245550A
—
OK
05
—
100245550B
—
OK
05
—
1007777870026
—
PA
05
—
1008681
—
VT
05
—
113194002
—
WY
05
—
134364741
—
AR
05
—
1417915653
—
MT
05
—
160980002
—
ME
05
—
165745
—
OR
05
—
200073250A
—
IN
05
—
200393
—
IN
01
—
2083963
PK
—
05
—
2094317
—
OH
05
—
223504800
—
MD
05
—
321404400
—
MD
05
—
334178
—
AZ
05
—
3974892
—
MI
05
—
3974892
—
TN
05
—
4582531
—
TN
05
—
500400005
—
OR
05
—
508187
—
HI
05
—
5601857
—
MT
05
—
6021851
—
WA
05
—
62246
—
NM
05
—
71979760
—
NM
05
—
7397489
—
PA
05
—
7P5423
—
SC
05
—
806196100
—
ID
05
—
83480323
—
CO
05
—
8517690
—
VA
05
—
9025743700
—
KY
05
—
9117784
—
VA
05
—
DM1235
—
SC
05
—
OH24981
—
RI
05
—
OH24982
—
RI
05
—
PH235PA
—
AK
05
—
PPA99169
—
PA
Enumeration date
05/03/2006
Last updated
12/05/2025
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