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NPI 1558871228

OrganizationActive

Coquille Indian Tribe

NPI 1558871228 · Pharmacy · Coos Bay, OR

Provider details

NPI number: 1558871228
Entity type: Organization
Primary specialty: PharmacySuppliers
Parent organization: Coquille Indian Tribe
Authorized official: Kelle Little, Health and Human Services Administr
License: RP-0003304 (OR)

Practice location

630 Miluk Dr

Coos Bay, OR 97420-7728

Phone: (541) 435-7039

Fax: (541) 982-5352

More OR providers

Mailing address

Po Box 3190

Coos Bay, OR 97420

Registry dates

Enumerated: 2017-10-06
Last updated: 2025-11-03

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Coquille Indian Tribe — NPI 1558871228, Coos Bay, OR | NPI Central