Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. COLTER JESS HADERLIE
Active Sole ProprietorDR. COLTER JESS HADERLIE is a Pharmacist healthcare provider located in AFTON, Wyoming. NPI 1699143107 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · AFTON, WY
Registration Details
- NPI Number
- 1699143107
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 14, 2015 (10.906950749236 yrs)
- Last Updated
- Sep 14, 2015
- License
-
3575 (WY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
679 S WASHINGTON STAFTON, WY, 831106000Browse WY providers · Browse ZIP 83110
- Phone
- 3078859804
- Fax
- 3078859760
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in AFTON, WY
| Name | Credential | NPI |
|---|---|---|
| THANE Z GROVER | PHARM.D. | 1124275383 |
| MR. DANIEL BOYD RICHONS | RPH | 1245582816 |
| ZACHARY JACK IVIE | — | 1114335205 |
| RHET MITCHELL LONG | PHARMD | 1427691211 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.