Healthcare Provider Details

I. General information

NPI: 1649196528
Provider Name (Legal Business Name): MOSKOS GEORGIOS TSAKIRIS PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: MARSHALL TSAKIRIS TSAKIRIS

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1717 E MONUMENT ST
BALTIMORE MD
21287-0027
US

IV. Provider business mailing address

1717 E MONUMENT ST
BALTIMORE MD
21287-0027
US

V. Phone/Fax

Practice location:
  • Phone: 410-955-0055
  • Fax: 410-614-7114
Mailing address:
  • Phone: 410-955-0055
  • Fax: 410-614-7114

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number12179
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: