Provider Demographics
NPI:1750277398
Name:HOOPER, ROBERT PRESTON (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:PRESTON
Last Name:HOOPER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:PRESTON
Other - Middle Name:
Other - Last Name:HOOPER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:4014 POTOMAC AVE
Mailing Address - Street 2:
Mailing Address - City:TEXARKANA
Mailing Address - State:TX
Mailing Address - Zip Code:75503-2842
Mailing Address - Country:US
Mailing Address - Phone:469-416-2559
Mailing Address - Fax:
Practice Address - Street 1:717 S MAIN ST
Practice Address - Street 2:
Practice Address - City:HOPE
Practice Address - State:AR
Practice Address - Zip Code:71801-6522
Practice Address - Country:US
Practice Address - Phone:870-777-4643
Practice Address - Fax:870-777-1331
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-17
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX51600183500000X
ARPD16820183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist