Healthcare Provider Details

I. General information

NPI: 1639016645
Provider Name (Legal Business Name): DASHA SAVELIEVA DASHA SAVELIEVA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

129 FISHERVILLE RD
CONCORD NH
03303-2081
US

IV. Provider business mailing address

129 FISHERVILLE RD
CONCORD NH
03303-2081
US

V. Phone/Fax

Practice location:
  • Phone: 603-866-0511
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPHA-PIN-LLIC-98421
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: