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General NPI Number Information
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NPI Number | 1336703388
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Entity Type | Organization
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Legal Business Name | ACCREDO HEALTH GROUP INC
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Dates
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Enumeration Date | 04/25/2019
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 677 ALA MOANA BLVD SUITE 404
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City | HONOLULU
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State | HI
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Zip | 96813-5412
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Country | US
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Telephone | 808-650-6488
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Fax |
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Provider Business Mailing Address
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Address Line | 1 EXPRESS WAY
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City | SAINT LOUIS
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State | MO
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Zip | 63121-1824
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Country | US
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Telephone | 314-684-6702
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Fax |
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Authorized Official
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Title or Position | ASSISTANT SECRETARY
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Name | VICTOR JOSEPH PERINI
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Credential |
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Telephone | 314-684-6750
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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