Individual
MRS. DESIREE BROOKE OSBOURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
510 BUTLER AVE, MARTINSBURG, WV 25405-9990
(304) 263-0811
Mailing address
510 BUTLER AVE, MARTINSBURG, WV 25405-9990
(304) 263-0811
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0007306
WV
Other
Enumeration date
12/30/2009
Last updated
12/30/2009
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