Organization
PELLEGRINE INC/DBA PEARLE VISION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER JOHN PELLEGRINE (PRESIDENT)
(314) 878-1377
Entity
Organization
Contact information
Practice address
12536 OLIVE BLVD STE B, SAINT LOUIS, MO 63141-6391
(314) 878-1377
(314) 878-1384
Mailing address
12536 OLIVE BLVD STE B, SAINT LOUIS, MO 63141-6391
(314) 878-1377
(314) 878-1384
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/03/2007
Last updated
12/03/2007
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