Provider Demographics
NPI:1538170592
Name:TSCHIRGI, TRENT ALAN (RPH, CGP)
Entity type:Individual
Prefix:
First Name:TRENT
Middle Name:ALAN
Last Name:TSCHIRGI
Suffix:
Gender:M
Credentials:RPH, CGP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9019 SCOTCH PINE CT
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-2355
Mailing Address - Country:US
Mailing Address - Phone:410-997-3533
Mailing Address - Fax:
Practice Address - Street 1:9019 SCOTCH PINE CT
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-2355
Practice Address - Country:US
Practice Address - Phone:410-997-3533
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-11
Last Update Date:2007-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD10317183500000X, 1835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric
No183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD10317OtherMARYLAND STATE