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
45 ROUTE 46 EAST, SUITE 609, PINE BROOK, NJ 07058-9390
(973) 276-0794
(973) 276-0998
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
28RS00661300
NJ
3336C0003X
Community/Retail Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130796
—
NJ
05
—
130818
—
NJ
01
—
2055937
PK
—
Enumeration date
07/25/2006
Last updated
12/05/2025
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