PICKWICK PHARMACY LLC
NPI 1003706060
Pharmacy - Community/Retail Pharmacy in Warren, MI

Active since July 09, 2025
13720 E 12 MILE RD, WARREN, MI 48088(586) 250-2509(586) 250-0392 Get Directions Write a Review

NPPES record last updated: February 9, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Pharmacy
  • Community/Retail Pharmacy

About PICKWICK PHARMACY LLC

This page provides the complete NPI Profile along with additional information for Pickwick Pharmacy Llc, a provider established in Warren, Michigan operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1003706060 assigned on July 2025. The practitioner's primary taxonomy code is 3336C0003X. The provider is registered as an organization and their NPI record was last updated February 2026. The authorized official of this NPI record is Abbas Mansour (Owner)

NPI
1003706060 Verify this NPI
Provider Name
PICKWICK PHARMACY LLC
Entity Type
Organization
Location Address
13720 E 12 MILE RD WARREN, MI 48088
Location Phone
(586) 250-2509
Location Fax
(586) 250-0392
Mailing Address
13700 E 12 MILE RD # 104 WARREN, MI 48088
Mailing Phone
(586) 250-2509
Mailing Fax
(586) 250-0392
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-09-2025
Last Update Date
02-09-2026
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy Community/Retail Pharmacy

Taxonomy Code
3336C0003X
Type
Suppliers
Taxonomy Description
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ABBAS MANSOUR

Authorized Official Title
OWNER
Authorized Official Phone
(586) 250-2509

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Dentist
13720 E 12 MILE RD
WARREN, MI 48088
Pharmacist
13720 E 12 MILE RD
WARREN, MI 48088

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003706060, enumerated as an "organization" on July 09, 2025.

The provider is located at 13720 E 12 MILE RD WARREN, MI 48088 and the phone number is (586) 250-2509.

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.