Vintage Pharmacy Llc is not a DME supplier for medicare equipments and products.
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.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.
Other Pharmacies in Lady Lake, Florida
Rx Care Pharmacy Speciality:Pharmacy Address: 13733 N Us Highway 441, Lady Lake, FL Phone: 352-391-5531 Fax: 352-391-5533Optimum Health Wellness Center Inc Address: 1503 Buenos Aires Blvd Ste 160, Lady Lake, FL Phone: 352-350-6241 Holiday Cvs Llc Speciality:Community/Retail Pharmacy Address: 860 Avenida Central, Lady Lake, FL Phone: 352-750-1118 Fax: 352-753-8890Albertsons Llc Speciality:Pharmacy Address: 1566 Bella Cruz Dr, Lady Lake, FL Phone: 352-753-9405 Fax: 352-753-9410Villages Rx Pharmacy Llc Speciality:Long Term Care Pharmacy Address: 13733 N Us Highway 441, Lady Lake, FL Phone: 352-391-5533 Wellcare Pharmacy Services Inc Address: 13733 N Us Highway 441, Lady Lake, FL Phone: 352-391-5533 Fax: 352-391-5531