IndividualActive
Colter Haderlie
NPI 1699143107 · Pharmacist · Afton, WY
Provider details
- NPI number
- 1699143107
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 3575 (WY)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
679 S Washington St
Afton, WY 83110-6000
Phone: (307) 885-9804
Fax: (307) 885-9760
Street-level locationGet directions
Mailing address
679 S Washington St
Afton, WY 83110-6000
Registry dates
- Enumerated
- 2015-09-14
- Last updated
- 2015-09-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.