Healthcare Provider Details

I. General information

NPI: 1457280737
Provider Name (Legal Business Name): EDWARD THOMAS PAPPERT II PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3829 OAKLAND DR
BLOOMFIELD HILLS MI
48301-3250
US

IV. Provider business mailing address

3829 OAKLAND DR
BLOOMFIELD HILLS MI
48301-3250
US

V. Phone/Fax

Practice location:
  • Phone: 248-891-4403
  • Fax:
Mailing address:
  • Phone: 248-891-4403
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5302418527
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: