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Dr. Colter Jess Haderlie
Pharmacist in Afton, Wyoming
NPI 1699143107

Colter Jess Haderlie is a Pharmacist based in Afton, WY. Colter Jess Haderlie practices in Afton, WY. The NPI Number for Colter Jess Haderlie is 1699143107 and holds a License No. 3575 (Wyoming).

The current practice location address for Colter Jess Haderlie is 679 S Washington St, Afton, WY and can be reached out via phone at 307-885-9804 and via fax at 307-885-9760. You can also correspond with Colter Jess Haderlie through the mailing address at 679 S WASHINGTON ST, AFTON, WY - 83110-6000 (mailing address contact number: 307-885-9804).

Location: 679 S Washington St, Afton, WY, 83110-6000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699143107
Provider Name
Colter Jess Haderlie
Credential
Provider Entity Type
Individual
Gender
Male
Address
679 S Washington St, Afton, WY, 83110-6000
Phone Number
307-885-9804
Fax Number
307-885-9760
Provider Enumeration Date
09/14/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
679 S Washington St
City
Afton
State
Wyoming
Zip
83110-6000
Phone Number
307-885-9804
Fax Number
307-885-9760
person
Provider Business Mailing Address Details
Address
679 S Washington St
City
Afton
State
Wyoming
Zip
83110-6000
Phone Number
307-885-9804
Fax Number
307-885-9760
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
3575 (Wyoming)
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.
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