Organization
SIX DEGREES, INC.
Active
Other names
Prescription Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
MARIANNE ANTONIO (CEO)
(954) 744-9397
Entity
Organization
Contact information
Practice address
15247 11TH ST., 1000A & 1000B, VICTORVILLE, CA 92395-3727
(760) 245-7761
(760) 245-8303
Mailing address
15247 11TH ST, VICTORVILLE, CA 92395-3727
(760) 245-7761
(760) 245-8303
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1998716
PK
—
Enumeration date
07/22/2006
Last updated
09/24/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
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