Dr Colter Jess Haderlie, in Afton, WY - Pharmacist

Dr Colter Jess Haderlie, is a Pharmacist based in Afton, Wyoming. Dr Colter Jess Haderlie is licensed to practice in Wyoming (license number 3575) and his current practice location is 679 S Washington St, Afton, Wyoming. He can be reached at his office (for appointments etc.) via phone at (307) 885-9804.

NPI number for Dr Colter Jess Haderlie is 1699143107 and his current mailing address is 679 S Washington St, Afton, Wyoming. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1699143107.

Contact Information

	Dr Colter Jess Haderlie,
	679 S Washington St, Afton, WY 83110-6000
	(307) 885-9804
	(307) 885-9760

Healthcare Provider's Profile

Full Name	Dr Colter Jess Haderlie
Gender	Male
Speciality	Pharmacist
Location	679 S Washington St, Afton, Wyoming
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1699143107
Provider Enumeration Date: 09/14/2015
Last Update Date: 09/14/2015

Medical Identifiers

Medical identifiers for Dr Colter Jess Haderlie such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699143107	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
183500000X	Pharmacist	3575 (Wyoming)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Colter Jess Haderlie is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Colter Jess Haderlie, 679 S Washington St, Afton, WY 83110-6000 Ph: (307) 885-9804	Dr Colter Jess Haderlie, 679 S Washington St, Afton, WY 83110-6000 Ph: (307) 885-9804

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Pharmacist in Afton, WY

Zachary Jack Ivie, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 679 S Washington St, Afton, WY 83110 Phone: 307-885-9804 Fax: 307-885-9760
Thane Z Grover, PHARM.D. Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 141 N. Washington St., Broulim's Pharmacy, Afton, WY 83110 Phone: 307-885-5550
Mr. Daniel Boyd Richons, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 439 Washington St., Afton, WY 83110 Phone: 307-885-9804 Fax: 307-885-9760
Rhet Mitchell Long, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 307 S Washington, Afton, WY 83110 Phone: 307-885-6337 Fax: 307-885-6339
Dr. Camerin Cordell Passey, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 679 S Washington St, Afton, WY 83110 Phone: 307-885-9804

Dr Colter Jess Haderlie, - Pharmacist in Afton, WY