National Provider Identifier
Michael Sundance Lake, PHARMD
Michael Sundance Lake, PHARMD is listed in the NPPES registry with a primary specialty of Pharmacist in Cheektowaga, NY and a listed phone number of (716) 892-8115.
Profile Overview
- NPI
- 1124452164
- Provider Type
- Individual
- Primary Specialty
- Pharmacist
- Enumeration Date
- August 27, 2013
- Last Updated
- August 27, 2013
Practice Location
- 2887 Harlem RD
- Cheektowaga, NY 14225-3038
Phone: (716) 892-8115
Mailing Address
- 211 Summer St
- Apt 1
- Buffalo, NY 14222-2218
Specialties
- Pharmacist (183500000X)
Full Record
- NPI
- 1124452164
- Entity Type
- Individual
- Last Name
- Lake
- First Name
- Michael
- Middle Name
- Sundance
- Name Prefix
- Dr.
- Credential
- PHARMD
- Mailing Street Address
- 211 Summer St
- Mailing Address Line 2
- Apt 1
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14222-2218
- Mailing Country
- US
- Mailing Phone
- (716) 803-5564
- Practice Street Address
- 2887 Harlem RD
- Practice City
- Cheektowaga
- Practice State
- NY
- Practice ZIP Code
- 14225-3038
- Practice Country
- US
- Practice Phone
- (716) 892-8115
- Practice Fax
- (716) 892-6027
- Enumeration Date
- August 27, 2013
- Last Updated
- August 27, 2013
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pharmacist (183500000X)