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Organization

COQUILLE INDIAN TRIBE

Active
Parent organization
COQUILLE INDIAN TRIBE
Other names
CIT Tribal Pharmacy
Organization subpart
Yes

Provider details

NPI number
Legal business name
COQUILLE INDIAN TRIBE
Authorized official
KELLE LITTLE (HEALTH AND HUMAN SERVICES ADMINISTR)
(541) 888-9494
Entity
Organization

Contact information

Practice address
630 MILUK DR, COOS BAY, OR 97420-7728
(541) 435-7039
(541) 982-5352
Mailing address
630 MILUK DR, COOS BAY, OR 97420-7728
(541) 888-9494

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
RP-0003305
OR

Other

Enumeration date
10/12/2017
Last updated
11/03/2025
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