National Provider Identifier Database

ACCREDO HEALTH GROUP INC
Pharmacy

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.


Contact Information

ACCREDO HEALTH GROUP INC
2915 WATERS RD
STE 109
EAGAN, MN55121-1562
Phone: 651-681-0885
Fax: 651-681-0977
Website:
Specialty Taxonomy Code
* Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X
Durable Medical Equipment & Medical Supplies 332B00000X
Home Infusion Therapy Pharmacy 3336H0001X
Specialty Pharmacy 3336S0011X

* Indicates primary specialty

NPI Profile & details for ACCREDO HEALTH GROUP INC

NPI Number 1821048950
Legal business name
LBN
ACCREDO HEALTH GROUP INC
Authorized official VIC PERINI - (ASSISTANT SECRETARY)
Entity Organization
Organization subpart No
Enumeration date 05/11/2006
Last updated 12/05/2025 - About 6 months ago
Sole proprietor1 Not specified
Identifiers
  • MN License #: 261914
  • MN Medicaid: 279219200
  • MN Medicaid: 363613500
  • ND Medicaid: 21250AC
  • SD Medicaid: 8533810
  • SD Medicaid: 9166720
  • WI Medicaid: 33226900
  • Other: 2046692 PK

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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