Organization
ACCREDO HEALTH GROUP INC
Active
Other names
ACCREDO HEALTH GROUP INC
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR JOSEPH PERINI (ASSISTANT SECRETARY)
(314) 847-0146
Entity
Organization
Contact information
Practice address
39625 LEWIS DR, STE 800, NOVI, MI 48377-2972
(248) 489-0300
(248) 489-1126
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
5301006495
MI
3336C0003X
Community/Retail Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2043485
PK
—
05
—
2048411
—
OH
05
—
2356500
—
MI
05
—
3416580
—
MI
Enumeration date
05/26/2006
Last updated
05/06/2026
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