Individual
JACKSON C OSBORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11 W CENTRAL AVE, MIAMI, OK 74354-6821
(918) 542-4444
(918) 542-6357
Mailing address
23 A ST NW, MIAMI, OK 74354-6203
(918) 542-8234
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20597
OK
Other
Enumeration date
05/06/2025
Last updated
05/22/2025
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