Provider Demographics
NPI:1629340740
Name:SCHOEPE, SCOTT (RPH)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:
Last Name:SCHOEPE
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:FREDERICK
Other - Middle Name:SCOTT
Other - Last Name:SCHOEPE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RPH
Mailing Address - Street 1:308 S COLLEGE ST
Mailing Address - Street 2:
Mailing Address - City:NEWCOMERSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:43832-1222
Mailing Address - Country:US
Mailing Address - Phone:740-498-7187
Mailing Address - Fax:740-498-4046
Practice Address - Street 1:308 S COLLEGE ST
Practice Address - Street 2:
Practice Address - City:NEWCOMERSTOWN
Practice Address - State:OH
Practice Address - Zip Code:43832-1222
Practice Address - Country:US
Practice Address - Phone:740-498-7187
Practice Address - Fax:740-498-4046
Is Sole Proprietor?:No
Enumeration Date:2012-02-06
Last Update Date:2012-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03313368183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist