Maple Leaf Pharmacy West

LBN: Maple Leaf Group
Maple Leaf Pharmacy West is an health care organization with primary practice located at 2575 W Broad St Ste 5 , Columbus OH 43204-3333. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Maple Leaf Group can be contacted via phone (614) 274-5890, or through Jerkins, Joseph via phone (614) 272-6791.

Contact Information

Primary practice address
2575 W Broad St Ste 5 Columbus OH 43204-3333
Phone: (614) 274-5890
Fax: (614) 274-5899
Website:
Map and Directions
Authorized official contact:
Name: Jerkins, Joseph RPH
Phone: (614) 272-6791

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PMY.021746200-03 Ohio

Profile Details

NPI number 1871788265
LBN Legal business name Maple Leaf Group
DBA Doing business as Maple Leaf Pharmacy West
Authorized official Jerkins, Joseph RPH
Entity Organization
Organization subpart 1 No
Enumeration date Sep 10th, 2007
Last updated Jul 19th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871788265 NPPES
Ohio MEDICAID 2772629
Ohio Other 2081077

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