Healthcare Provider Details

I. General information

NPI: 1659704617
Provider Name (Legal Business Name): ACCREDO HEALTH GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2013
Last Update Date: 09/19/2025
Certification Date: 09/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2051 OLD COOCHS BRIDGE RD STE 100
NEWARK DE
19702-2483
US

IV. Provider business mailing address

PO BOX 954041
SAINT LOUIS MO
63195-0001
US

V. Phone/Fax

Practice location:
  • Phone: 302-395-8943
  • Fax:
Mailing address:
  • Phone: 901-381-7141
  • Fax: 901-261-6924

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336M0002X
TaxonomyMail Order Pharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberA3-0000986
License Number StateDE

VIII. Authorized Official

Name: VICTOR JOSEPH PERINI
Title or Position: ASSISTANT SECRETARY
Credential:
Phone: 314-684-6750