Organization
MEMORIAL PHARMACY
Active
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up