# MAPLE LEAF GEORGESVILLE PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477941854
- **Authorized official:** DR. JOSEPH A JERKINS PHARMD (OWNER)
- **Authorized official phone:** (614) 272-6791

## Contact information

- **Practice address:** 491 GEORGESVILLE RD, COLUMBUS, OH 43228-2420
- **Practice address phone:** (614) 272-6791
- **Practice address fax:** (614) 272-6826
- **Mailing address:** PO BOX 27005, COLUMBUS, OH 43227-0005
- **Mailing address phone:** (614) 272-6791
- **Mailing address fax:** (614) 272-6826

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 01/07/2015
- **Last updated:** 01/07/2015