Dr. Michael Sundance Lake, PharmD
Pharmacist in Cheektowaga, NY. Individual provider (NPI-1).
NPI number1124452164
StatusActive
Last updated in NPPESAug 27, 2013
Details
- NPI
- 1124452164
- Entity type
- Individual (NPI-1)
- Name
- Dr. Michael Sundance Lake
- Credential
- PharmD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 27, 2013
- Last updated
- Aug 27, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 057051 | NY | Yes |
Practice location
2887 Harlem RdCheektowaga, NY 14225-3038
Phone 716-892-8115 · Fax 716-892-6027
Mailing address
211 Summer StApt 1
Buffalo, NY 14222-2218
Phone 716-803-5564
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All 90 Pharmacist providers in Cheektowaga · All 1,831 providers in Cheektowaga
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