Organization · NPI-2
Accredo Health Group, INC.
Pharmacy · Tempe, AZ
NPI number1730612953
StatusActive
Last updated in NPPESDec 5, 2025
Details
- NPI
- 1730612953
- Entity type
- Organization (NPI-2)
- Legal business name
- Accredo Health Group, INC.
- Organization subpart
- No
- Enumeration date
- Apr 5, 2017
- Certification date
- Dec 5, 2025
- Last updated
- Dec 5, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | Y002074 | AZ | Yes |
| 3336M0002X | Pharmacy, Mail Order Pharmacy | Y002074 | AZ |
Practice location
2040 W Rio Salado PkwySte 101b
Tempe, AZ 85281-2802
Phone 602-944-1199 · Fax 602-944-1787
Mailing address
Po Box 954041Saint Louis, MO 63195-0001
Phone 901-381-7141 · Fax 901-261-6924
Authorized official
Victor B Perini
Assistant Secretary
3146846273
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