Provider Demographics
NPI:1205211901
Name:GINTY, THOMAS M (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:M
Last Name:GINTY
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 1:1600 MARINA RD UNIT 306B
Mailing Address - Street 2:
Mailing Address - City:IRMO
Mailing Address - State:SC
Mailing Address - Zip Code:29063-6907
Mailing Address - Country:US
Mailing Address - Phone:803-917-6144
Mailing Address - Fax:
Practice Address - Street 1:1600 MARINA RD UNIT 306B
Practice Address - Street 2:
Practice Address - City:IRMO
Practice Address - State:SC
Practice Address - Zip Code:29063-6907
Practice Address - Country:US
Practice Address - Phone:803-917-6144
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-22
Last Update Date:2015-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC13023183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist