Provider Demographics
NPI:1205186384
Name:NUQUE, CYNSON CAESAR NORA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CYNSON CAESAR
Middle Name:NORA
Last Name:NUQUE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3575 MAYBANK HWY
Mailing Address - Street 2:
Mailing Address - City:JOHNS ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29455-4823
Mailing Address - Country:US
Mailing Address - Phone:843-559-0328
Mailing Address - Fax:843-559-0661
Practice Address - Street 1:3575 MAYBANK HWY
Practice Address - Street 2:
Practice Address - City:JOHNS ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29455-4823
Practice Address - Country:US
Practice Address - Phone:843-559-0328
Practice Address - Fax:843-559-0661
Is Sole Proprietor?:No
Enumeration Date:2012-09-14
Last Update Date:2012-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC13352183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist