- Practice location
- 65 Western Ave, Rite Aid, Hampden, ME 04444-1423
- Phone
- 207-862-4900
- Fax
- —
- Last updated
- July 17, 2013
Mark Dominique is a Pharmacist based in Hampden, ME. Mark Dominique practices in Hampden, ME and has the professional credentials of PHARMD, LCSW. The NPI Number for Mark Dominique is 1831423201 and holds a License No. LC12200 (ME). The current practice location address for Mark Dominique is 65 Western Ave, Rite Aid, Hampden, ME 04444-1423 and can be reached out via phone at 207-862-4900.
Provider Profile Details
- NPI Number
- 1831423201
- Provider Name
- Mark Dominique
- Credential
- PHARMD, LCSW
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 65 Western Ave, Rite Aid, Hampden, ME 04444-1423
- Phone Number
- 207-862-4900
- Primary Taxonomy
- Pharmacist · 183500000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 1, 2009
- Last Update Date
- July 17, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 65 Western Ave
Rite Aid
Hampden, ME 04444-1423 - City
- Hampden
- State
- Maine
- Zip
- 04444-1423
- Phone Number
- 207-862-4900
Provider Business Mailing Address Details
- Address
- 65 Western Ave
Hampden, ME 04444-1423 - City
- Hampden
- State
- ME
- Zip
- 04444-1423
- Phone Number
- 207-862-4900
License Information
- License Number (1)
- LC12200
- License State (1)
- ME
- Taxonomy (1)
- Social Worker, Clinical · 1041C0700X
- License Number (2)
- PR6065
- License State (2)
- ME
- Taxonomy (2)
- Pharmacist · 183500000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pharmacists near Hampden, ME
View all Pharmacists in Hampden →Frequently Asked Questions
What is the NPI number of Mark Dominique, PHARMD, LCSW?
The NPI number of Mark Dominique, PHARMD, LCSW is 1831423201. It was assigned on October 1, 2009 and is currently active in the NPPES registry.
What is the specialty of Mark Dominique, PHARMD, LCSW?
Mark Dominique, PHARMD, LCSW is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in ME under license number LC12200.
Where does Mark Dominique, PHARMD, LCSW practice?
The practice location is 65 Western Ave, Rite Aid, Hampden, ME 04444-1423. The office can be reached at 207-862-4900 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1831423201 directly on the NPPES registry website.