Provider Demographics
NPI:1508406935
Name:HOPKINS, LAURA THOMPSON (PHARMACIST)
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:THOMPSON
Last Name:HOPKINS
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 PASIFINO PL
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30075-2878
Mailing Address - Country:US
Mailing Address - Phone:404-579-4029
Mailing Address - Fax:
Practice Address - Street 1:570 E CROSSVILLE RD
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30075-3034
Practice Address - Country:US
Practice Address - Phone:770-640-2065
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-14
Last Update Date:2020-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA015828183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA4045794029OtherCELL PHONE