Christopher John Destache in Omaha - Pharmacotherapy
Christopher John Destache - NPI 1669458592
Christopher John Destache is a Pharmacotherapy in Omaha, Nebraska. Christopher John Destache practices all healthcare services and medical treatments related to Pharmacotherapy. The NPI Number for Christopher John Destache is 1669458592. The last update date is 2007-07-08.
Christopher John Destache's current location address is 5211 S 166th Avenue Cir, Omaha, Nebraska. You can contact this provider via phone number 4022804744 and fax number 4022803320. The mailing address for Christopher John Destache is 5211 S 166th Avenue Cir, Omaha, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Christopher John Destache |
|---|---|
| Address | 5211 S 166th Avenue Cir, Omaha, Nebraska |
| Phone Number | 4022804744 |
| Fax Number | 4022803320 |
| Sole Proprietor | X |
| Credentials | PHARM. D. |
NPI Number Detail
| NPI Number | 1669458592 |
|---|---|
| Provider Enumeration Date | 2005-12-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5211 S 166th Avenue Cir |
|---|---|
| City | Omaha |
| State | Nebraska (NE) |
| Post Code | 681352362 |
| Phone Number | 4022804744 |
| Fax Number | 4022803320 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacotherapy |
|---|---|
| Taxonomy | 1835P1200X |
| Licence No | 9813 |
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Definition: A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and cons |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Christopher John Destache by the Centers for Medicare & Medicaid Services?
The Christopher John Destache has been issued the NPI (National Provider Identifier) 1669458592, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Christopher John Destache is geographically located?
The Christopher John Destache is physically situated at the following location: 5211 S 166Th Avenue Cir, Omaha, NE, 681352362.
What is Christopher John Destache's specialized field of practice, and what is the corresponding taxonomy classification code?
The Christopher John Destache's area of specialization is Pharmacotherapy, and the corresponding taxonomy code that categorizes this field of practice is 1835P1200X.
On what date did the Christopher John Destache receive its 1669458592 assignment from the Centers for Medicare & Medicaid Services?
The Christopher John Destache was assigned its 1669458592 by the Centers for Medicare & Medicaid Services on 2005-12-22.
When was the information regarding Christopher John Destache most recently updated?
The details pertaining to the Christopher John Destache, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.