Provider Demographics
NPI:1245315258
Name:SCHOPPA, ROBERT E (RPH)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:E
Last Name:SCHOPPA
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 TORTOISE LN
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78628-2246
Mailing Address - Country:US
Mailing Address - Phone:512-942-3305
Mailing Address - Fax:512-942-3304
Practice Address - Street 1:4945 WILLIAMS DR
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78628-2008
Practice Address - Country:US
Practice Address - Phone:512-942-3305
Practice Address - Fax:512-942-3304
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX27730183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX27730OtherTEXAS PHARMACIST LICENSE