Practical information for Pico

What do I need to know about fuel, pharmacies and medical care on Pico?

Quick answer

Pico holds 13,834 people across 447 square kilometres, and its services are sized for that. Fuel stations are few and keep local hours, pharmacies work a rota outside opening times, and there is no hospital on the island: serious cases go to Faial.

Last verified 19 Sep 2026 · how we verify
13,834 Island population · source
447 km² Island area · source
The church of Santa Maria Madalena with the mountain visible behind the town
Madalena, where most of the island's services are. Ruben JC Furtado · CC BY-SA 3.0 · Wikimedia Commons

Size sets the rules

Under 14,000 people live on 447 square kilometres of Pico, spread along two coasts with a mountain in the middle. Nearly every practical surprise on this island follows from that one fact.

Services exist, and they are good, but they are sized for the resident population rather than for visitors arriving at odd hours. Nothing runs late. Sunday is quiet. Out of season, quieter again.

Fuel

Stations are few, they cluster around the three towns, and their hours are local hours rather than a city's. The practical rule is to refuel when you are near a station with more than half a tank gone, not when the gauge tells you to. See fuel stations.

Pharmacies and medicine

Pharmacies are concentrated in the towns and work a duty rota outside normal hours, so there is always one open somewhere on the island even though most are shut. See pharmacy on duty.

Medical care

There is no hospital on Pico. The island has health centres and clinics; the hospital for this group of islands is on Faial, across the channel from Madalena. For anything serious, the route is the same route visitors take: across the water. Dial 112 in any emergency; the regional nurse line, the hospital and sea rescue are on emergency numbers.

That is not alarming in itself, and it is the normal arrangement across the smaller Azorean islands. It is worth knowing before you plan a remote day out, and worth factoring into travel insurance.

Phones and holidays

An EU phone works on Pico as it does at home, under the EU's roaming rules; a phone from elsewhere depends on your plan. See mobile data and roaming. Holidays come in three layers, national, regional and municipal, and each of the island's three municipalities keeps its own: see public holidays on Pico before you plan around a shop or an office.

The thing that connects all of it

You need a car. See getting to Pico for arriving, renting a car and driving on Pico: the island is long, the coast roads are slow, and being without a vehicle turns a minor practical problem into a stuck afternoon. Where you base yourself changes how often it bites, so Pico's villages is worth reading first.

What this page does not tell you

No opening hours, no duty rotas, no prices. The phone numbers this section carries are on emergency numbers, each with its source. The regional health authority's site was unreachable from the machine this page was written on, and nothing here is copied from a secondary guide. The statement that there is no hospital on Pico reflects that none is mapped on the island and that the group's hospital is on Faial; confirm current arrangements locally if it matters to your plans.

Facts and sources

FactValueSource
Island population 13,834 source ↗
Island area 447 km² source ↗