# MAPLE LEAF HILLTOP PHARMACY

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

## Provider details

- **NPI number:** 1780961441
- **Authorized official:** DR. JOSEPH A JERKINS PHARMD (OWNER)
- **Authorized official phone:** (614) 272-6791

## Contact information

- **Practice address:** 2575 W BROAD ST, COLUMBUS, OH 43204-3333
- **Practice address phone:** (614) 272-8188
- **Practice address fax:** (614) 272-8311
- **Mailing address:** 2575 W BROAD ST, COLUMBUS, OH 43204-3333
- **Mailing address phone:** (614) 272-8188
- **Mailing address fax:** (614) 272-8311

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 022170700 | OH | Yes |

## Other

- **Enumeration date:** 11/09/2011
- **Last updated:** 11/09/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 022170700 | OHIO STATE BOARD OF PHARMACY | OH |