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
3488 S MAIN ST, SALT LAKE CITY, UT 84115-4419
(801) 832-0222
(801) 832-0333
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
55435331704
UT
3336C0003X
Community/Retail Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000201500
—
ID
05
—
000203800
—
ID
05
—
1902857501
—
UT
01
—
2100126
PK
—
05
—
268950
—
OR
Enumeration date
05/16/2006
Last updated
05/06/2026
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