MEDICARE: TRENT ALAN TSCHIRGI R.PH., CGP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	10317	MD
2	1835G0303X	Geriatric Pharmacist	10317	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	10317	OTHER	MD	MARYLAND STATE

General Provider Information

NPI Number	:	1538170592
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRENT ALAN TSCHIRGI R.PH., CGP

Provider Business Mailing Address
First Line	:	9019 SCOTCH PINE CT
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21045-2355
Country	:	US
Telephone Number	:	410-997-3533
Fax Number	:

Provider Business Practice Location Address
First Line	:	9019 SCOTCH PINE CT
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21045-2355
Country	:	US
Telephone Number	:	410-997-3533
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2006
Last Update Date	:	09/18/2007

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