Coquille Indian Tribe
Pharmacy in Coos Bay, OR. Organization (NPI-2).
NPI number1982115366
StatusActive
Last updated in NPPESNov 3, 2025
Details
- NPI
- 1982115366
- Entity type
- Organization (NPI-2)
- Legal business name
- Coquille Indian Tribe
- Organization subpart
- Yes
- Enumeration date
- Oct 12, 2017
- Certification date
- Nov 3, 2025
- Last updated
- Nov 3, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | RP-0003305 | OR | Yes |
Other names
- Cit Tribal Pharmacy (Other Name)
Practice location
630 Miluk DrCoos Bay, OR 97420-7728
Phone 541-435-7039 · Fax 541-982-5352
Mailing address
630 Miluk DrCoos Bay, OR 97420-7728
Phone 541-888-9494
Authorized official
Kelle Little
Health And Human Services Administr
5418889494
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