Organization
KINGDOM CROWNS HAIR STUDIO
Active
Other names
KCHS
Organization subpart
No
Provider details
NPI number
Authorized official
LATRINA LORRAINE HOPKINS (OWNER)
(678) 308-1104
Entity
Organization
Contact information
Practice address
316 W PIKE ST STE 202G, LAWRENCEVILLE, GA 30046-4878
(678) 308-1104
Mailing address
1533 GREAT SHOALS CIR, LAWRENCEVILLE, GA 30045-7098
(678) 308-1104
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
01/31/2020
Last updated
02/16/2021
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