Healthcare Provider Details

I. General information

NPI: 1356029532
Provider Name (Legal Business Name): COLBY EVAN GLATTER PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2023
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 S SHACKLEFORD RD
LITTLE ROCK AR
72211-4335
US

IV. Provider business mailing address

1701 S SHACKLEFORD RD
LITTLE ROCK AR
72211-4335
US

V. Phone/Fax

Practice location:
  • Phone: 501-219-7000
  • Fax:
Mailing address:
  • Phone: 501-219-7000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPD16682
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: