California State Board Of Pharmacy Address Change
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The board of pharmacy is unable to guarantee the accuracy of this translation.
California state board of pharmacy address change. Any change of name must be supported with one of the following the board will not accept these documents by facsimile. Change of address may be made on line or in writing to the board. 9 1 1 address change for a pharmacy pdf central processing center pharmacy application pdf.
Change of address or name notification to board each person holding a certificate license permit registration or exemption to practice or engage in any activity in the state of california under any and all laws administered by the board shall file a proper and current residence address with the board at its office in sacramento and shall within 30 days notify the board at its said office of any and all changes of residence address giving both the old and new address. Licensees also must update their email addresses with the board within 30 days of any change of email address. State board of pharmacy.
Previous page contact. The board will only accept current typed versions of board of pharmacy forms. On line change of address form.
California pharmacy law provides that information on the boards web site can be accepted as verification of a license per business and professions code section 4106. The request to change or update the address must be in writing and include the following information. Name licenseregistration number to ensure correct identification old and new address signature and date.
Welcome to the california state board of pharmacy the board of pharmacy protects and promotes the health and safety of californians by pursuing the highest quality of pharmacists care and the appropriate use of pharmaceuticals through education communication licensing legislation regulation and enforcement. California law requires all licensees to report each and every change of addressemail within 30 days after each change. Harrisburg pa 17105 2649.
To ensure the most recent version check the revised date in the bottom right corner of each form. Fillable change of address form pdf name change. Copy of marriage certificate.
2720 gateway oaks drive suite 100. This google translation feature is provided for informational purposes only. You may also email your request to.
All facilities pharmacists intern pharmacists pharmacy technicians and designated representatives must sign up for subscriber alerts for their license type within 60 days of obtaining a license or at the time of license renewal. California state board of pharmacy. California state board of pharmacy.
You are required to notify the board of any change in name within 30 days. You may also fax your request to 916 574 8618.
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