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NPI 1447178132

NPI 1447178132 : ACCREDO HEALTH GROUP INC : SALT LAKE CITY, UT

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General NPI Number Information
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    NPI Number           |    1447178132
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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     |    07/09/2026
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    Last Update Date     |    07/09/2026
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Provider Practice Location Address
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    Address Line         |    3488 S MAIN ST 
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    City                 |    SALT LAKE CITY
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    State                |    UT
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    Zip                  |    84115-4419
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    Country              |    US
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    Telephone            |    801-832-0222
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    Fax                  |    801-832-0333
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Provider Business Mailing Address
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    Address Line         |    PO BOX 954041 
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    City                 |    SAINT LOUIS
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    State                |    MO
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    Zip                  |    63195-4041
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    Country              |    US
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    Telephone            |    901-381-7141
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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            |    314-847-0146
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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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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