| Dr Colter Jess Haderlie, | |
|
679 S Washington St, Afton, WY 83110-6000 | |
| (307) 885-9804 | |
| (307) 885-9760 |
| 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699143107 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | 3575 (Wyoming) | Primary |
| 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 |
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 |