Healthcare Provider Details

I. General information

NPI: 1164387130
Provider Name (Legal Business Name): FAMILY MEDICAL CENTER OF MICHIGAN, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/22/2025
Last Update Date: 12/23/2025
Certification Date: 12/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 N MACOMB ST
MONROE MI
48162-3088
US

IV. Provider business mailing address

901 N MACOMB ST
MONROE MI
48162-3088
US

V. Phone/Fax

Practice location:
  • Phone: 734-654-0645
  • Fax: 734-224-7279
Mailing address:
  • Phone: 734-654-0645
  • Fax: 734-224-7279

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DR. ZACHARY TERRILL
Title or Position: DIRECTOR OF PHARMACY
Credential: PHARMD
Phone: 734-654-0645