Organization · Type 2 NPI

Vintage Pharmacy LLC

Community/Retail Pharmacy · Lady Lake, FL

NPI number 1386680908 Active

Practice location

104 S Old Dixie Hwy
Lady Lake, FL 32159-4349

Call (352) 751-6895 Map

Fax (352) 751-6894

Mailing address

PO Box 67
Lady Lake, FL 32158-0067

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	PH20910 (FL)
Compounding Pharmacy	3336C0004X	None listed
Home Infusion Therapy Pharmacy	3336H0001X	None listed
Long Term Care Pharmacy	3336L0003X	None listed
Specialty Pharmacy	3336S0011X	None listed

Community/Retail Pharmacy: 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 …

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About NPI 1386680908

Vintage Pharmacy LLC's National Provider Identifier is 1386680908, issued on Jun 21, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Lady Lake, FL. The record was last updated on Jan 9, 2014.