Organization
LAE DRUG CORP
Active
Other names
Tristate Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS ESPINOZA (PRESIDENT)
(718) 755-5229
Entity
Organization
Contact information
Practice address
8924 37TH AVE, JACKSON HEIGHTS, NY 11372-7739
(718) 565-1900
(718) 565-6900
Mailing address
8924 37TH AVE, JACKSON HEIGHTS, NY 11372-7739
(718) 565-1900
(718) 565-6900
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05539217
—
NY
Enumeration date
12/26/2018
Last updated
05/10/2025
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