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
19060 Q ST STE 101, OMAHA, NE 68135-1504
(402) 597-2330
(402) 597-2333
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
2560
NE
3336C0003X
Community/Retail Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2055625
PK
—
Enumeration date
05/26/2006
Last updated
12/05/2025
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