Mark Dominique, PHARMD, LCSW is a
Pharmacist based in Hampden, Maine. Mark Dominique is licensed to practice in Maine (license number PR6065) and his current practice location is
65 Western Ave, Rite Aid, Hampden, Maine. He can be reached at his office (for appointments etc.) via phone at
(207) 862-4900.
NPI number for Mark Dominique is 1831423201 and his current mailing address is 65 Western Ave, Hampden, Maine. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1831423201.
Healthcare Provider's Profile
| Full Name | Mark Dominique |
|---|
| Gender | Male |
|---|
| Speciality | Pharmacist |
|---|
| Location | 65 Western Ave, Hampden, Maine |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1831423201
- Provider Enumeration Date: 10/01/2009
- Last Update Date: 07/17/2013
Medical Identifiers
Medical identifiers for Mark Dominique such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831423201 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | LC12200 (Maine) | Secondary |
| 183500000X | Pharmacist | PR6065 (Maine) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mark Dominique is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mark Dominique, PHARMD, LCSW
65 Western Ave,
Hampden, ME 04444-1423
Ph: (207) 862-4900 | Mark Dominique, PHARMD, LCSW
65 Western Ave, Rite Aid,
Hampden, ME 04444-1423
Ph: (207) 862-4900 |
Reviews and Comments