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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARK DOMINIQUE, PHARM.D, LCSW

Active

MARK DOMINIQUE, PHARM.D, LCSW is a Pharmacist healthcare provider located in HAMPDEN, Maine. NPI 1831423201 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · HAMPDEN, ME

Registration Details

NPI Number
1831423201
Provider Type
Individual
Gender
Male
NPI Issued
Oct 1, 2009 (16.832635971544 yrs)
Last Updated
Jul 17, 2013
Licenses
LC12200 (ME)
PR6065 (ME)

Practice Information

Address
65 WESTERN AVE
RITE AID
HAMPDEN, ME, 044441423
Browse ME providers · Browse ZIP 04444
Phone
2078624900
Primary Specialty
Pharmacist
183500000X
Additional Specialty
Pharmacist

Other Pharmacist Providers in HAMPDEN, ME

Name Credential NPI
MR. ARTHUR JAMES BENSON RPH 1134100829
JOEL C LARSON RPH 1578897526
MR. KIRK JAMES BEAULIEU RPH 1841504982
JON SIMMS PHARMD. 1598166563
SARAH STANSAUK 1861979825
BRIANNA BOISVERT PHARMD 1659975241
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.