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DR. COLTER JESS HADERLIE
NPI 1699143107
Pharmacist in Afton, WY

Active since September 14, 2015
679 S WASHINGTON ST, AFTON, WY 83110(307) 885-9804(307) 885-9760 Get Directions Write a Review

NPPES record last updated: September 14, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Colter Jess Haderlie NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. COLTER JESS HADERLIE (NPI 1699143107) is an individual pharmacist in Afton, Wyoming, licensed in Wyoming (3575) and active in the NPI registry since September 2015.

NPPES Registry Identity

NPI1699143107
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDR. COLTER JESS HADERLIE
Location Address679 S WASHINGTON STAfton, WY 83110-6000
Mailing Address679 S Washington StAfton, WY 83110-6000 · (307) 885-9804 · Fax (307) 885-9760
Phone(307) 885-9804
Fax(307) 885-9760
Sole ProprietorYes
Enumeration DateSeptember 14, 2015
✔ NPI 1699143107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in WY · 3575
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
679 S WASHINGTON ST, Afton, WY 83110
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ZACHARY JACK IVIE
Pharmacist
679 S WASHINGTON ST
AFTON, WY 83110
Lincoln County (307) 885-9804

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Colter Haderlie's NPI number?

The NPI number for Colter Haderlie is 1699143107. It was assigned to this individual provider in the NPPES registry on September 14, 2015.

Where is Colter Haderlie located?

Colter Haderlie practices at 679 S Washington St, Afton, WY 83110. The listed phone number is (307) 885-9804.

What is Colter Haderlie's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Colter Haderlie was last updated on September 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.