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1124452164
MICHAEL SUNDANCE LAKE
CHEEKTOWAGA, NY
NPI
1124452164
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: NY 057051)
Enumeration Date
2013-08-27
Last Update Date
2013-08-27
Business Address
Dr. MICHAEL SUNDANCE LAKE PharmD
2887 HARLEM RD
CHEEKTOWAGA, NY 14225-3038
Phone number: 716-892-8115
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Mailing Address
Dr. MICHAEL SUNDANCE LAKE PharmD
211 SUMMER ST APT 1
BUFFALO, NY 14222-2218
Phone number: 716-803-5564
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