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1396362992
MICHAEL ANTHONY LAKE
CLEARWATER, FL
NPI
1396362992
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: FL PS60867)
Enumeration Date
2020-06-29
Last Update Date
2020-06-29
Business Address
MICHAEL ANTHONY LAKE PharmD
300 PINELLAS ST
CLEARWATER, FL 33756-3804
Phone number: 727-461-8082
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Mailing Address
MICHAEL ANTHONY LAKE PharmD
414 FLORIAN WAY
SPRING HILL, FL 34609-9326
Phone number:
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