National Provider Identifier Database

MARK DOMINIQUE, PHARM.D, LCSW – NPI #1831423201
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, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.


Contact Information

MARK DOMINIQUE, PHARM.D, LCSW
65 WESTERN AVE
RITE AID
HAMPDEN, ME04444-1423
Phone: 207-862-4900
Fax:
Website:
Specialty Taxonomy Code
* Pharmacist 183500000X
Clinical 1041C0700X

* Indicates primary specialty

NPI Profile & details for MARK DOMINIQUE

NPI Number 1831423201
Credentials PHARM.D, LCSW
Entity Individual
Enumeration date 10/01/2009
Last updated 07/17/2013 - About 13 years ago
Sole proprietor1 No
Identifiers
  • ME License #: LC12200
  • ME License #: PR6065
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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