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Contact Information

ACCREDO HEALTH GROUP, INC.
2040 W RIO SALADO PKWY
STE 101B
TEMPE, AZ85281-2802
 Phone: 602-944-1199
 Fax: 602-944-1787
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Mail Order Pharmacy

3336M0002X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for ACCREDO HEALTH GROUP, INC.

NPI # 1730612953
LBN Legal business name ACCREDO HEALTH GROUP, INC.
Authorized official VICTOR PERINI - (ASSISTANT SECRETARY)
Entity Organization
Organization subpart 1 No
Enumeration date 04/05/2017
Last updated 12/05/2025 - About 6 months ago
Identifiers
AZ License # Y002074
AZ Medicaid 306060
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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