Organization
MEMORIAL PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TETE E KOFFIE-LARTEVI PHARMD (PHARMACIST)
(504) 782-1733
Entity
Organization
Contact information
Practice address
7017 S STAPLES ST STE 103B, CORPUS CHRISTI, TX 78413-5507
(504) 782-1733
(504) 782-1733
Mailing address
3333 S ALAMEDA ST APT 13P, CORPUS CHRISTI, TX 78411-1848
(504) 782-1733
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
Other
Enumeration date
02/08/2021
Last updated
02/22/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us