Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Colter Jess Haderlie

Individual provider Pharmacist · NPI 1699143107

Dr. Colter Jess Haderlie is a Pharmacist in Afton, Wyoming. Practices as a sole proprietor. Licensed in Wyoming.

Licensed in
WY
In the registry since
2015

Practice location Address checks out

679 S Washington St
Afton, WY 83110-6000
Phone: (307) 885-9804
Fax: (307) 885-9760
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 3575 (WY)

Record details

NPI number1699143107
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 14, 2015
Last updated in NPPESSeptember 14, 2015

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