Organization
MAPLE LEAF GROUP
Active
Other names
MAPLE LEAF PHARMACY WEST
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH JERKINS RPH (OWNER)
(614) 272-6791
Entity
Organization
Contact information
Practice address
2575 W BROAD ST STE 5, COLUMBUS, OH 43204-3333
(614) 274-5890
(614) 274-5899
Mailing address
PO BOX 27005, COLUMBUS, OH 43227-0005
(614) 274-5890
(614) 443-1020
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PMY.021746200-03
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2081077
PK
—
05
—
2772629
—
OH
Enumeration date
09/10/2007
Last updated
09/19/2025
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