Mark Dominique, PHARM.D, LCSW

Pharmacist · Hampden, ME

Individual Active NPI

NPI number 1831423201

Practice location

65 Western Ave
Rite Aid
Hampden, ME 04444-1423
Phone
(207) 862-4900

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NPI record

NPI
1831423201
Entity type
Individual (Type 1)
Enumeration date
October 1, 2009
Last updated
July 17, 2013
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X PR6065 ME
Clinical Social Worker 1041C0700X LC12200 ME

Mailing address

65 Western Ave
Hampden, ME 04444-1423
Phone
(207) 862-4900

About Dr. Dominique

Mark Dominique, PHARM.D, LCSW is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 65 Western Ave, Rite Aid, Hampden, ME 04444-1423. The NPI number 1831423201 was assigned on October 1, 2009 and the record was last updated on July 17, 2013.

Dr. Dominique lists 2 licenses in the registry: #PR6065 (ME) for Pharmacist; #LC12200 (ME) for Clinical Social Worker. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mark Dominique, PHARM.D, LCSW?

The NPI number is 1831423201.

What is the phone number of Dr. Dominique?

The phone number listed for the practice location is (207) 862-4900.

Where is Dr. Dominique located?

65 Western Ave, Rite Aid, Hampden, ME 04444-1423.

What is the taxonomy code for Dr. Dominique?

The primary taxonomy code is 183500000X – Pharmacist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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