Vintage Pharmacy Llc
Community/Retail Pharmacy
104 S Old Dixie Hwy, Lady Lake
Florida, 32159-4349
352-751-6895 352-751-6894
Vintage Pharmacy Llc is a Community/Retail Pharmacy in Lady Lake, Florida. It is located at 104 S Old Dixie Hwy, Lady Lake and it's customer support contact number is 352-751-6895. The authorized person of Vintage Pharmacy Llc is Patti Harrison, CPHT/RPT who is Owner And President of the pharmacy and his contact number is 352-751-6895. Active license number of Vintage Pharmacy Llc is PH20910 for Community/Retail Pharmacy in Florida.
Vintage Pharmacy Llc is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Vintage Pharmacy Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Vintage Pharmacy Llc |
| Type: | Community/Retail Pharmacy |
| Location: | 104 S Old Dixie Hwy, Lady Lake,
Florida, 32159-4349 |
| Phone: | 352-751-6895 |
| Fax: | 352-751-6894 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Patti Harrison |
| Credentials: | CPHT/RPT |
| Position: | Owner And President |
| Contact Number: | 352-751-6895 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1386680908 |
| NPI Enumeration Date: | 21 Jun, 2006 |
| NPI Last Update On: | 09 Jan, 2014 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Vintage Pharmacy Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | PH20910 | Florida | Primary | |
| Compounding Pharmacy | | | Secondary | |
| Long Term Care Pharmacy | | | Secondary | |
| Home Infusion Therapy Pharmacy | | | Secondary | |
| Specialty Pharmacy | | | Secondary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
| Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2003982 | Other | | Pk |
| 028308800 | Medicaid | Florida | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 67,
Lady Lake, Florida |
| Zip: | 32158-0067 |
| Phone Number: | 352-751-6895 |
| Fax Number: | 352-751-6894 |
Patients can reach Vintage Pharmacy Llc at
104 S Old Dixie Hwy, Lady Lake, Florida or can
call on customer care at 352-751-6895.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.