Healthcare Provider Details

I. General information

NPI: 1760698906
Provider Name (Legal Business Name): CYNTHIA LYNNE MORRIS-KUKOSKI PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CYNTHIA LYNNE MORRIS KUKOSKI PHARM.D.

II. Dates (important events)

Enumeration Date: 05/15/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501 INVESTIGATION PKWY
QUANTICO VA
22135-0001
US

IV. Provider business mailing address

231 DOE WAY
FREDERICKSBURG VA
22406-4644
US

V. Phone/Fax

Practice location:
  • Phone: 703-632-7838
  • Fax: 703-632-7411
Mailing address:
  • Phone: 540-752-8204
  • Fax: 540-752-8204

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number20504
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number7673
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: