Organization
MAPLE LEAF GROUP
Active
Other names
MAPLE LEAF PHARMACY CENTRAL
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH JERKINS RPH (OWNER)
(614) 272-6791
Entity
Organization
Contact information
Practice address
2343 CLEVELAND AVE, COLUMBUS, OH 43211-1611
(614) 261-0004
(614) 261-1075
Mailing address
PO BOX 27005, COLUMBUS, OH 43227-0005
(614) 301-4526
(614) 443-1020
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
RPT021746150
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2081078
PK
—
Enumeration date
09/06/2007
Last updated
11/26/2014
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