Vintage Pharmacy Llc is a Specialty Pharmacy based in Lady Lake, FL and is specialized in Specialty Pharmacy. Vintage Pharmacy Llc practices in Lady Lake, FL. The NPI Number for Vintage Pharmacy Llc is 1386680908 and holds a License No. (Florida).
The current practice location address for Vintage Pharmacy Llc is 104 S Old Dixie Hwy, Lady Lake, FL and can be reached out via phone at 352-751-6895 and via fax at 352-751-6894.
Location: 104 S Old Dixie Hwy, Lady Lake, FL, 32158-0067
Provider Profile Details
NPI Number
1386680908
Provider Name
Vintage Pharmacy Llc
Credential
Provider Entity Type
Organization
Address
104 S Old Dixie Hwy, Lady Lake, FL, 32158-0067
Phone Number
352-751-6895
Fax Number
352-751-6894
Provider Enumeration Date
06/21/2006
Last Update Date
03/12/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2003982 | 01 | PK | |
| 028308800 | 05 | FL |
Provider Business Practice Location Address Details
Address
104 S Old Dixie Hwy
City
State
Zip
32159-4349
Phone Number
352-751-6895
Fax Number
352-751-6894
Provider Business Mailing Address Details
Address
104 S Old Dixie Hwy
City
State
Zip
32159-4349
Phone Number
352-751-6895
Fax Number
352-751-6894
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
License No.
()
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
License No.
()
Definition
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.
Provider's Taxonomy Details 4
Type
Suppliers
Classification
Pharmacy
Speciality
Compounding Pharmacy
Taxonomy
License No.
()
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
Provider's Taxonomy Details 5
Type
Suppliers
Classification
Pharmacy
Speciality
Home Infusion Therapy Pharmacy
Taxonomy
License No.
PH20910 (Florida)
Definition
Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance.
Provider's Taxonomy Details 6
Type
Suppliers
Classification
Pharmacy
Speciality
Long Term Care Pharmacy
Taxonomy
License No.
()
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Provider's Taxonomy Details 7
Type
Suppliers
Classification
Pharmacy
Speciality
Specialty Pharmacy
Taxonomy
License No.
()
Definition
A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration.
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