Individual provider · Type 1 NPI

Michael Sundance Lake, PharmD

Pharmacist · Cheektowaga, NY

NPI number 1124452164 Active

Practice location

2887 Harlem Rd
Cheektowaga, NY 14225-3038

Call (716) 892-8115 Map

Fax (716) 892-6027

Mailing address

211 Summer St, Apt 1
Buffalo, NY 14222-2218

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X057051 (NY)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1124452164

Michael Sundance Lake, PharmD's National Provider Identifier is 1124452164, issued on Aug 27, 2013. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Cheektowaga, NY. The record was last updated on Aug 27, 2013.