IndividualActive
Mark Dominique, PHARM.D, LCSW
NPI 1831423201 · Pharmacist · Hampden, ME
Provider details
- NPI number
- 1831423201
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARM.D, LCSW
- Sex
- Male
- Sole proprietor
- No
- License
- LC12200 (ME)
Mailing address
65 Western Ave
Hampden, ME 04444-1423
Registry dates
- Enumerated
- 2009-10-01
- Last updated
- 2013-07-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.