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ACCREDO HEALTH GROUP INC

Suppliers Pharmacy Specialty Pharmacy

Provider NPI: 1275740474

Organization Information:
Organization Name:  ACCREDO HEALTH GROUP INC
Organization is not Subpart
Authorized Official:  VIC  PERINI  ASSISTANT SECRETARY  314-684-6924

Practice Location:
1620 CENTURY CENTER PKWY SUITE 109 MEMPHIS, TN 38134-8849 US
Tel: 901-385-3600  Fax: 901-385-3777

Business Mailing Address:
PO BOX 954041  SAINT LOUIS, MO 63195-0001 US
Tel: 901-381-7141  Fax: 901-261-6924

NPI Information:
NPI: 1275740474
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N3336S0011XSuppliers
Pharmacy
Specialty Pharmacy
N3336M0002XSuppliers
Pharmacy
Y333600000XSuppliers
Pharmacy
TN3946

Other Provider Identifiers:

IssuerNumberStateType
0102997NJ05
1007777870023PA05
200445IN05
4105365TN05
160980000ME05
6027692WA05
0578625IA05
100245100CKY05
4090811TN05
54008214KY05
806981800ID05
0103012NJ05
02718770NY05
PK209528801
21460ND05
09824589MS05
100245100COK05
200494710AIN05
2487385OH05
4436920TN05



American Medical Association 2012 taxonomy code information

Code: 333600000X

Type:

Classification:



Definition:



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