MICHAEL SUNDANCE LAKE

CHEEKTOWAGA, NY
NPI1124452164
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: NY  057051)
Enumeration Date2013-08-27
Last Update Date2013-08-27
Business Address
Dr. MICHAEL SUNDANCE LAKE PharmD
2887 HARLEM RD
CHEEKTOWAGA, NY 14225-3038
Phone number: 716-892-8115
Mailing Address
Dr. MICHAEL SUNDANCE LAKE PharmD
211 SUMMER ST APT 1
BUFFALO, NY 14222-2218
Phone number: 716-803-5564