Maple Leaf Compounding Pharmacy

LBN: Maple Leaf Compounding Pharmacy
Maple Leaf Compounding Pharmacy is an health care organization with primary practice located at 2575 W Broad St , Columbus OH 43204-3333. The organization recently has only one registered license in Suppliers / Compounding Pharmacy, which is considered as the primary health care specialty. Maple Leaf Compounding Pharmacy can be contacted via phone (614) 272-6791, or through Jerkins, Joseph via phone (614) 272-6791.

Contact Information

Primary practice address
2575 W Broad St Columbus OH 43204-3333
Phone: (614) 272-6791
Fax: (614) 272-6826
Website:
Map and Directions
Authorized official contact:
Name: Jerkins, Joseph PHARM.D
Phone: (614) 272-6791

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Compounding Pharmacy 3336C0004X 022325150 Ohio

Profile Details

NPI number 1578905147
LBN Legal business name Maple Leaf Compounding Pharmacy
DBA Doing business as
Authorized official Jerkins, Joseph PHARM.D
Entity Organization
Organization subpart 1 No
Enumeration date Jul 24th, 2013
Last updated Jul 24th, 2013 - about 13 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 1578905147 NPPES
Ohio Other 022325150 OHIO STATE BOARD OF PHARMACY LICENSE

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