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) 684-6273
Entity
Organization
Contact information
Practice address
2915 WATERS RD, STE 109, EAGAN, MN 55121-1562
(651) 681-0885
(651) 681-0977
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
261914
MN
3336C0003X
Community/Retail Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2046692
PK
—
05
—
21250AC
—
ND
05
—
279219200
—
MN
05
—
33226900
—
WI
05
—
363613500
—
MN
05
—
8533810
—
SD
05
—
9166720
—
SD
Enumeration date
05/11/2006
Last updated
12/05/2025
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