Individual
DR. CHRISTOPHER JOHN DESTACHE SR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Contact information
Practice address
601 N 30TH ST, SUITE 5800, OMAHA, NE 68131-2137
(402) 280-4269
Mailing address
5211 S 166TH AVENUE CIR, OMAHA, NE 68135-2362
(402) 280-4744
(402) 280-3320
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9813
NE
1835P1200X
Pharmacotherapy Pharmacist
9813
NE
Other
Enumeration date
12/22/2005
Last updated
09/11/2025
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