OrganizationActive
Coquille Indian Tribe
NPI 1982115366 · Pharmacy · Coos Bay, OR
Provider details
- NPI number
- 1982115366
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Parent organization
- Coquille Indian Tribe
- Authorized official
- Kelle Little, Health and Human Services Administr
- License
- RP-0003305 (OR)
Practice location
630 Miluk Dr
Coos Bay, OR 97420-7728
Phone: (541) 435-7039
Fax: (541) 982-5352
Mailing address
630 Miluk Dr
Coos Bay, OR 97420-7728
Registry dates
- Enumerated
- 2017-10-12
- 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.