There are 11 members total, with two of them being public members and one being a state executive department member. Nonresident Pharmacies (22-) and Outsourcing Facilities (20-) should allow 15 business days for Board review and approval. Please print clearly. Licensing Gateway. You may download and print your own forms or contact our office and we will mail them to you. Address: 2601 N. Third St., Harrisburg, PA 17110) . 4 0 obj Complete the nomination of a superintendent formand include it with your application. Whippany, NJ (07981) Today. 27.3. Nonresident facility change of address/business name, Nonresident Pharmacy Application (non-sterile, Non-Resident Pharmacy Self-Assessment Form, Form to report change of work or living address. Copyright 2020 National Association of Boards of Pharmacy (NABP). A "change of ownership" for the purposes of the National Health Service (Pharmaceutical and Local Pharmaceutical Services Regulations 2013 (the Regulations) covers the situation where the legal identity of the pharmacy contractor has changed. Forms for obtaining a duplicate license can be obtained from the Board's homepage. For the procedure for initial licensure, . All applications submitted to the Board have a one year expiration date before the applications are withdrawn. The Board proposes the rule amendments to require consistent periods of record retention. for individuals who are allowed to prescribe controlled substances. Indicate whether you would like an email PDF copy, a duplicate mailed license, or both. Any entity that ships prescription drugs into Wyoming must be licensed by the Wyoming State Board of Pharmacy. The Non-Resident Non-Dispensing Pharmacy permit is the only permit that requires the Pharmacist-In-Charge to be a South Carolina licensed Pharmacist. Same City: If relocating within the same city, a Relocation Application fee is required. 27.2. Limited Retail and Wholesale Veterinary Drug Permit. For any application, the listed Pharmacist-In-Charge may not currently be serving as Pharmacist-In-Charge at another facility without prior authorization from the Board. Change of Name/Location. GENERAL INFORMATION to be completed by all types of ownership Pharmacy Name: Physical Address: Mailing Address: City: State: Zip Code: . Regulations Chapter 99 State Board Of Pharmacy. Most questions asked are similar to common inspection questions. You must complete and submit a new application and follow the instructions within the application for a change of ownership and/or location. Each registered facility must have a qualified. For your convenience, you may use the NMBOP approved SBEM Class D clinicPolicy and Procedure manual. An Outsourcing Facility Permit is required for 503B outsourcing facilities registered with the FDA. Non-Resident Retail Pharmacy Renewal Application, Non-Resident Pharmacy 2021 Renewal Instructions, Add CSR to existing Non-Resident Pharmacy License Application. Use this application if you are an Analytical Lab, a Teaching Institute, or a Controlled Substance Researcher. w[xt~gWFxOf3; Box 625 Jefferson City, MO 65102. The Board of Pharmacy, the oldest professional licensing board in New Jersey, was established in 1877 to protect the public by regulating the dispensing of prescription medications. A less than 50% change requires written notification of the date of the transaction, the name(s), and percentage of change in ownership of the new owner(s). A Change of Ownership is most commonly identified if the FEIN of the direct owner of the pharmacy has changed. Change of Professional Director (Clinic) Warden (Licensed Correctional Facility) Transfer of 10% to 49% of Ownership. An on-site inspection is required before a permit will be issued. The Board of Pharmacy will no longer accept outdated applications. The Intern Packet is six different forms: Pharmacist New Applicationas defined inregulation part 4. If you are someone who believes your personal information has been compromised, and did not receive a letter, please enter your information through the following form. The Board accomplishes it's mission by regulating and controlling the practice of pharmacy and the distribution of prescription drugs and devices. Email your application and supporting documents with the subject heading Notifying a change of ownership to premises@pharmacyregulation.org. Current newsletters are available as free downloads in PDF format. Arrest, or Conviction. 27.1. A Non-Resident Non-Dispensing Pharmacy Permit is required for remote medication order processing. Registered facilities may include production facilities, warehouses, or commercial offices that are operated by the registrant. The change or addition of a doing business as (dba) name requires a written request to change or add a dba name. 2 Revision 07/12/2019 Nonresident Pharmacies Only: New Applicants - The inspection requirements identified in rule 657 IAC 19.2 must be satisfied prior to submitting an application for licensure. All registered facilities must be secure from unauthorized entry. At that time the facility would need to re-apply. Our online system provides more efficient services to those applying for a Pharmacy license. To license a pharmacy where a change of ownership or change of location is involved, complete the steps above plus submit a Pharmacy Closing Affidavit ( Form 606 ) completed and notarized by the former owner and forward it to the board office with the other required materials. The initial application contains a one-time $30.00 Request-For-Inspection fee. Please complete the form and email or fax to the Wyoming State Board of Pharmacy within 30 days of the PIC change. LLA"Z[f HwKtBA'v(_]#=EK#av17+_W$)=2! Practice of pharmacy and delegation of duties. Lt. Email:RubinaccioA@dca.lps.state.nj.us, Anthony Rubinaccio A New Jersey pharmacist license is a biennial license; it must be renewed every two (2) years. 16.19.12.8FEES: All fees shall be paid in advance of the issuance of any license, permit, certificate or replacement of a certificate and shall not be refundable. Section 1330.780 - Change of Ownership of a Pharmacy a) A new pharmacy application must be filed whenever: 1) 10% or more of the ownership of the business, other than a publicly traded business, to which the pharmacy licensee was issued is sold or otherwise transferred to a person or entity that does not hold any interest in the business issued the pharmacy license prior to the sale or . Board Rule 21 NCAC 46.1603 provides: A new pharmacy, device, or medical equipment permit is required for a new location, if there is a change to a different or successor business entity, or a change resulting in a different person or entity owning more than 50 percent interest in the permit holder, or any entity in the chain of ownership above . A facility that is currently registered with the Food and DrugAdministration (FDA) as an outsourcing facility under Section 503B of the Federal Food, Drug, and Cosmetic Act, and that meets the requirements of that agency to engage in the compounding and distribution of sterile drugs. The Pharmacist-In-Charge of the facility must be a South Carolina licensed Pharmacist. An EMS Non-Dispensing Drug Outlet Permit is required for EMS, First Responders and Medical Transport companies storing and administering oxygen and legend drugs to patients. Submit the amendment application to the state of Nebraska within 30 days of the effective date of change. Adding a New License. Atlanta, GA 30303-3159. In-state permits which are relocation within the same city will be inspected after the relocation. If a manufacturing or warehouse facility is closing, include verification that all remaining drug, medical device or API inventory has been accounted for, reclaimed and/or disposed of properly. Online renewals should allow 24 hrs for the new information to appear. Change of Name or Address of a Non-Resident Pharmacy requires that you submit the change in writing to the Board of Pharmacy, accompanied by copies of the following documents: Copy of resident state license reflecting the change, Copy of DEA certificate reflecting the change, Copy of inspection report (for change of location), National Association of Boards of Pharmacy, Wyo.Gov | Citizen | Business | Government | Privacy | Visitor. For your convenience, you may use the NMBOP approved SBEM Class D clinic, . Defined inregulation part 22. Corporate changes in ownership at the grandparent level or above, only require the submission of a letter on company letterhead, which includes the NH facility license number, date of change, and old and new ownership structure or organizational chart. To restore . A Non-Resident Third Party Logistics Provider Permit is required for any entity that distributes, but does not take ownership nor have responsibility to direct the sale or disposition of legend drugs and/or devices on behalf of outsourcing facilities, manufacturers and/or wholesale distributors. If you do not want your E-mail address released in response to a public records request, do not send electronic mail to this entity. endobj Change of Permit Application (17A-12) Please allow four to six weeks for processing the application. The form may also be mailed to our office - PA. Dept of Health, Drug, Device, & Cosmetic program 555 Walnut St, 7th Floor Forum Place, Harrisburg, PA 17101 if using check/money order. You may CHANGE, ADD or REMOVE a location on your registration at any time by submitting the following: Signed letter explanation of the changes to be made. You can submit the form before the date of change if you want, but we must receive your notification within 28 days of the date on which the change of ownership has taken place. DEA Controlled Substance Registration Applications this is a link to the DEA website for DEA controlled substance registration applications. If you fail to notify us of the change of ownership within these time limits, we will remove the pharmacy premises from the register. The following shall constitute a change of ownership and requires a new license application. News. Changes. Please Note: Due to the high volume of license applications received daily at the Board office, the processing time for applications is approximately 14 days. The licensure of a pharmacy is a critical process. Facility Controlled Substance Registration Application. During the meeting the appropriate individual(s) will be asked questions regarding their submitted application and supporting documents as well as questions pertaining to the day to day business. 13:39-1.3, and documentation evidencing the change of ownership. STANDARDS 27.11. If you plan to operate a pharmacy service over the internet, you will also need to show us how you propose to meet ourguidance for registered pharmacies providing pharmacy services at a distance, including on the internet[PDF 576 KB]. The facility must also have a current South Carolina Non-resident Pharmacy permit or a Non-resident Wholesale/Distributor/Manufacturer permit. Designated Representativeas defined inregulation part 8. The Texas State Board of Pharmacy regulates pharmacy (facility) licensure and pharmacy (facility) changes of ownership. Emergency Medical Services Clinic Application as defined inregulation part 24. For each new out-of-state location, attach a copy of the resident state wholesale license. Pharmacy Permit/RenewalOut-of-State Form (744 KB PDF) Pharmacist in Charge Legal Affirmation Form (45 KB PDF) Permit/RenewalIn-State Form (678 KB PDF) Affidavit of Stock Ownership Form (41 KB PDF) Affidavit of Limited Liability Corporation Ownership (92 KB PDF) Change Pharmacist in Charge Form (79 KB PDF) Pharmacist Copy of DEA certificate reflecting the change. Facilities which are not directly operated by the applicant are not registered. The technical storage or access is required to create user profiles to send advertising, or to track the user on a website or across several websites for similar marketing purposes. The board is authorized to issue a pharmacy license to an individual, a firm, association, partnership, corporation, limited liability company, state government agency, trust, or political subdivision. If the change of ownership is a result of the death of the sole trader or one of the partners, you have more time to submit your notification we must receive it within 90 days of the date of death. 1801 Congress Avenue, Suite 13.100 Austin, Texas 78701 512-305-8000 www.pharmacy.texas.gov What is the biennial license renewal fee for a Pharmacist? [Reserved]. this is a link to the DEA website for DEA controlled substance registration applications. A permit holder and a pharmacist-in-charge must be designated on every pharmacy permit application. PO Box 45013 Without a subpoena, voluntary compliance on the part of your Internet Service Provider, or additional records from a third party, information stored or retrieved for this purpose alone cannot usually be used to identify you. The . If there is a complete change in owner : ) Change of Ownership (include organizational chart before and after change) Change of Name Change of Location Federal Employee Identification No. When there is a change in a pharmacy's pharmacist-in-charge (PIC), both the outgoing and incoming . Public Health and Food Protection Program, Indoor Environmental Health Assessment Overview, FAQs - Child Care Center/Educational Facility Indoor Health Assessment, Toolkit for Keeping Your Child Care Center Healthy, Reducing Exposures to Hazardous Substances, Post-Storm Tree Hazards: Resources for Homeowners and Workers/Employers, online list of every State agency that is responsible for licensure of prescription drug distributors, Wholesale Drug Rules (N.J.A.C. 1 0 obj The application for controlled substance registration is on the S.C. Department of Health and Environmental Control website: https://scdhec.gov/health-regulation/drug-control-register-verify/new-registrations, Prescription Monitoring Program: All SC-permitted pharmacies must also register with SCDHEC-Bureau of Drug Control Prescription Monitoring Program. 27.16. You willneed the Patient Contact log and instructions: , Procedure for Initial In-State Pharmacy Licensing. You may download and print your own forms or contact our office and we will mail them to you. Facilities not owned 100% by a South Carolina licensed Practitioner cannot dispense, Anything regarding controlled substances is regulated by the. beginning january 1, 2018 the arkansas state board of pharmacy will no longer review and approve education sessions as continuing education hours, that are not co-sponsored/developed by the arkansas state board of pharmacy. After you have submitted all your documentation, please allow 6 weeks before submitting a Contact Us Form to request a status update. The Board of Pharmacy must approve all changes in ownership and/or location BEFORE the change occurs. The renewal period begins approximately 60 days prior to expiration. endobj A Pharmacy Permit is required for any facility located in South Carolina that dispenses drugs requiring a prescription or order from a practitioner licensed to prescribe drugs. You willneed the Patient Contact log and instructions: Pharmacy Applicationas defined inregulation part 6, Procedure for Initial In-State Pharmacy Licensing. Include: Registration number (beginning with 500). Boarding and Residential Care Home Application. A South Carolina Controlled Substance Registration with South Carolina Department of Health and Environmental Control or DHEC-Bureau of Drug Control, is required to distribute controlled substances into the state. The pharmacist-in-charge does not have to be licensed in South Carolina. ]Hj{]gbO:kw=85I%q5C}N3&,8. Limited Retail and Wholesale Veterinary Drug Permit. Copy of inspection report (for change of location) For additional information, please visit the controlled substance section at the end of this page. If you submit an outdated application, it will be returned and will delay the processing of your application. Other definitions. This is for Methadone Clinics. Once reviewed, the . no change to FEIN). to 5:00p.m. $20 Processing Fee per letter (if submitted separately from the annual renewal). new jersey board of pharmacy change of ownership . 1. All other license types will need to submit a paper renewal application. Nonresident Pharmacy: as defined inregulation part 6.24. If you would like to request a duplicate registration or license issued, you must submit your change request in writing to the Board, along with your written request . Applicants will be notified by email of the time and date of the meeting for which they are scheduled. Change of Name or Address of a Wholesale Distributor requires that you submit the change in writing to the Board of Pharmacy, accompanied by copies of the following documents: Copy of resident state license reflecting the change. Prescription drugs or devices cannot be shipped, mailed, or delivered to a . 27.14. Current South Dakota wholesale drug distributor statutes and rules are located at the following links: SDCL 36-11A and ARSD 20:67. Directs the clinical pharmacctivities of the department to ensure safe and cost-effective medication management of all patients at Capital Health. Fax: (803) 896-4596 NON-RESIDENT PHARMACY PERMIT APPLICATION New Permit Change to Existing Permit (Permit No. For procedures on initial licensure,click here. A new license number will be issued. Setting standards through regulations and legislation , educating consumers and investigation and resolving . Signed letter explanation of the changes to be made. A retail pharmacy wishing to conduct a wholesale business shall operate the wholesale business under a separate name and at a separate location, other than that of the pharmacy name and address. The opinions and views expressed in this publication do not necessarily reflect the official views, opinions, or policies of the Foundation or the Board unless expressly so stated. This form cannot be used if there is a change of ownership, or for a change of physical locationfor facilities that compound sterile preparation/product delivered into NM (new application required). For all facilities except for Methadone Clinics and facilities licensed as Analytical Labs, Teaching Institutes, or Controlled Substance Researchers. As part of your application, you will need to complete an assessment to show how you will meet thestandards for registered pharmacies[PDF 985 KB] from the first day your pharmcy is open. ST-PHARMACY@PA.GOV. Correctly completed applications for new permits must be received in the Board of Pharmacy office at least 45 days before the opening date of the facility. stream Pharmacy. The New Jersey State Board of Pharmacy regulations were updated and became effective in December 2017. Harrisburg, PA 17105-2649. We are currently reviewing documents received during the dates noted below. It is important that this date is recorded accurately on thepharmacy register database. . Mailing Address: PO Box 2649, Harrisburg, PA 17105-2649 (Courier . Narcotic Treatment Program Facility Controlled Substance Registration Application. Any facility, skilled nursing facility, intermediate care, or any other upper level of care facility as defined by Health and Human Services Department is required to maintain custody of patients drugs in a drug room, and such drugs are administered by the facilities designated personnel. Applications with education from outside the U.S. usually require a lengthier review process. This permit requires a consultant who is a SC-licensed Practitioner, respiratory therapist, registered nurse, or pharmacist to be responsible and accountable for duties of the Consultant Pharmacist as provided in section 40-43-86 (C). View Form. Dangerous drugs may be stored for the use of the licensed clinic, hospital or pharmacy. Defined in. There is no fee for this, but you will also need a Request for Inspection. Pharmacy and other facility permits are eligible for renewal from mid-May through June 30, 2023. Licenses are not transferable to new owners or to a new location. For new permits only. Technician Applicationas defined inregulation part 22. s$38*<3>Nm}Q[Ii5o8:qS})/y-Pjq|,;QL A facility that is currently registered with the Food and DrugAdministration (FDA) as an outsourcing facility under Section 503B of the Federal Food, Drug, and Cosmetic Act, and that meets the requirements of that agency to engage in the compounding and distribution of sterile drugs. Also, A Drug Enforcement Administration Controlled Substance Registration is required. These clinics are licensed as A, B1, B2, B3, C, or E. For procedure for initial licensure,click here. If that facility/entity is not owned 100% by a South Carolina licensed Practitioner, they are required to have a Non-Dispensing Drug Outlet permit to be able to store and administer legend drugs and/or devices. P.O. Use this form to apply for a change in designated representative of a wholesale drug distributor, third-party logistics provider, or repackager. Statewide Policies; Website accessibility; Content disclaimer; According to 40-43-90(E) of the South Carolina Pharmacy Practice Act, the occurrence of any of the following requires a new permit: a change in ownership (any change in ownership of a sole proprietorship, gain or loss of a partner in a partnership, or change of ownership of 50% of more of stock in a corporation), a change in name, or a change . Short description of operations at each new location. The fees are as follows: $30 for Pharmacists BOARDS PROFESSIONS DOWNLOADABLE LISTINGS LICENSEE SEARCH RENEW A LICENSE BOARD MEMBER APPLICATION The Division of Professional Registration and its boards are open during the regular business hours of 8:00a.m. Electronic Prescriptions for Controlled Substances Beginning January 1, 2022, Utah Code Annotated 58-37-22 requires that most* prescriptions issued for a controlled substance be transmitted electronically as an electronic prescription; however, you may apply for a limited extension by submitting the form linked below. Contact PMP at scripts@dhec.sc.gov or (803) 896-0688. Drug Warehouse Applicationmeans an off-site physical storage location of an in-state clinic, hospital or pharmacy currently licensed by the New Mexico Board of Pharmacy. Is there a fee for renewal of my Immunization Approval? A change of ownership does not occur when a corporation or LLC sells stock to another person, or changes officers and the same entity continues as the owner of the pharmacy license (i.e. Laws, Rules & Procedures for Reporting Changes - by License Type. Make the check or money order (do not send cash) payable to the Board of Pharmacy. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); The New Jersey State Board of Pharmacy News is published by the New Jersey State Board of Pharmacy and the National Association of Boards of Pharmacy Foundation, Inc, to promote compliance of pharmacy and drug law. Corporate changes in ownership at the grandparent level or above, only require the submission of a letter on company letterhead, which includes the NH facility license number, date of change, and old and new ownership structure or organizational chart. 7 days. . : Legal Name of Pharmacy: dba Name: AG Platkin Announces NJ Has Joined Nationwide Settlements Totaling $20.1 Billion with CVS, Walgreens, Walmart Pharmacies and Drug Makers Teva and Allergan, for Their Alleged Roles in the Opioid Crisis January 11, 2023. 27.12. "9=~}U8W$#q'$l#3t~C6t.C7y0$. Low near 25F. STATE BOARD OF PHARMACY GENERAL PROVISIONS Sec. Hospital Pharmacy Applicationas defined inregulation part 7. The fee is only applicable to new locations. Practitioners Controlled Substance Registration Applicationfor individuals who are allowed to prescribe controlled substances. To restore the premises to the register, you will need to complete a restoration application and pay the appropriate restoration fee. Board of Pharmacy - Licensing Notice Regarding License Verification Requests (PDF) Effective March 1, 2019, the Office of Professional and Occupational Regulation (OPOR) will no longer issue paper license verifications. For all facilities except for Methadone Clinics and facilities licensed as Analytical Labs, Teaching Institutes, or Controlled Substance Researchers. . When a pharmacy facility has a pharmacist-in-charge change, the OUTGOING (former) pharmacist must notify the Board of Pharmacy in writing within 10 days of termination as PIC. Fax - (717) 787-7769. This is for any facility which provides care and services on a continuing basis for two or more in-house residents not related to the operator, and which maintains custody of the residents drugs. Use this form to report facility address or namechange. All new in-state facilities need a Request for Inspection form except nursing home and custodial care facilities. Pharmacist Temporary Licensure Application. Wholesale Drug DistributorApplicationdefined inregulation part 8;and 9. This permit requires a consultant pharmacist. This form should be submitted if a pharmacy is needing to request a Change of Location or to notify the Board of a Change of Name (including adding a dba or assumed name). 27.13. Controlled Substances Registration nor the Federal DEA Registration will be issued until after the correct Board of Pharmacy permit has been issued; however, you may submit all of the applications to the respective agencies at the same time, indicating that the State permit number is pending. To assist licensees in using the new system, the Board created several eLicense guides that can be accessed below. Box 18520. If the change of ownership is a result of the death of the sole trader or one of the partners, you have more time to submit your notification - we must receive it within 90 days of the date of death. Supplies. Pharmacy ApplicationsNew Pharmacy License & Change of Ownership. Title 40 Chapter 43 Pharmacists, S.C. Code of A Federally-Qualified Health Center (FQHC) Drug Outlet Permit is required for FQHC delivery sites to store, administer and distribute patient-specific labeled medications received from a permitted FQHC pharmacy or contracted pharmacy. for clinics that are defined as a Public Health Clinic in. To access information on an existing license or to apply for a new license, visit: https://elicense.ohio.gov. Nonresident facility change of address/business nameUse this form to report facility address or namechange. A Facility Controlled Substance Application is needed if controlled substances are stored at the facility. : Florida Statutes require a completed application and fees before your application can be approved. Under the Medicines Act 1968, the new owner of a registered pharmacy is required to notify us of the change of ownership. The INCOMING (new) pharmacist must complete and submit a Report of Pharmacist-in-Charge Change and Acknowledgment Form to the Board of Pharmacy. This manual does not supply the forms. The Board of Pharmacy must approve all changes in ownership and/or location BEFORE the change occurs. Fax: 602-771-2749. If you fail to notify us of the change of ownership within these time limits, we will remove the pharmacy premises from the register. And submit a report of Pharmacist-In-Charge change and Acknowledgment form to request a status update you will also need request...: Florida statutes require a completed application and follow the instructions within the same City will be issued Methadone and... 17105-2649 ( Courier may not currently be serving as Pharmacist-In-Charge at another facility without prior authorization from annual... Use the NMBOP approved SBEM Class D Clinic, the outgoing and incoming this form to report address... 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S Pharmacist-In-Charge ( PIC ), both the outgoing and incoming and a Pharmacist-In-Charge must be a South Carolina Practitioner... Facilities licensed as Analytical Labs, Teaching Institutes, or both before submitting a contact Us form to request status! Fax to the Board created several eLicense guides that can be approved ( facility ) licensure Pharmacy... Of your application at the facility must be licensed in South Carolina licensed Practitioner can not,! Your own forms or contact our office and we will mail them to you, Procedure for Initial Pharmacy. Application contains a one-time $ 30.00 Request-For-Inspection fee @ pharmacyregulation.org or to apply for a change of permit new. Of a registered Pharmacy is required consistent periods of record retention renewal instructions, Add CSR to existing (... Copy, a duplicate mailed new jersey board of pharmacy change of ownership, visit: https: //elicense.ohio.gov the facility must be licensed in South Non-Resident... 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Facility ) changes of ownership stored for the use of the PIC change Registration applications 896-4596 Non-Resident Pharmacy permit a. 22- ) and Outsourcing facilities ( 20- ) should allow 15 business days for Board review and approval 24! Using the new system, the new information to appear by the applicant are not operated. Own forms or contact our office and we will mail them to you our online system provides efficient! License & amp ; Procedures for Reporting changes - by license Type a South Carolina Pharmacy. Of Professional Director ( Clinic ) Warden ( licensed Correctional facility ) licensure Pharmacy. # x27 ; s homepage is needed if Controlled substances is regulated by the registrant registered with the subject Notifying... Statutes require a lengthier review process Methadone Clinics and facilities licensed as Analytical Labs, Teaching Institutes, or.... 13.100 Austin, Texas 78701 512-305-8000 www.pharmacy.texas.gov What is the only permit that requires the Pharmacist-In-Charge to be in... For Methadone Clinics and facilities licensed as Analytical Labs, Teaching Institutes, or a Substance... Separately from the Board proposes the rule amendments to require consistent periods of record retention of. To be made shipped, mailed, or commercial offices that are defined as a public Health Clinic in #. Pharmacy ( facility ) changes of ownership is most commonly identified if the FEIN of the time and of! D clinicPolicy and Procedure manual and a Pharmacist-In-Charge must be secure from unauthorized entry duplicate mailed,. Facility must also have a current South Carolina licensed Pharmacist or fax to the of! Department member Pharmacist-In-Charge must be a South Carolina and a Pharmacist-In-Charge must be designated on every Pharmacy permit is biennial. Copyright 2020 National Association of Boards of Pharmacy must approve all changes in ownership and/or location before change! Box 2649, Harrisburg, PA 17105-2649 ( Courier representative of a business... 1801 Congress Avenue, Suite 13.100 Austin, Texas 78701 512-305-8000 www.pharmacy.texas.gov What is the biennial license fee... Pharmacy permit application new permit change to existing permit ( permit no current newsletters are available as downloads. Processing fee per letter ( if submitted separately from the Board proposes the rule amendments to require consistent of... Facilities ( 20- ) should allow 15 business days for Board review and.... And/Or location before the applications are withdrawn time and date of the PIC change forms... A State executive department member Add a dba name Retail Pharmacy renewal application Pharmacy within 30 of! Doing business as ( dba ) name requires a written request to change or addition a. Written request to change or addition of a doing business as ( dba ) name a. For each new out-of-state location, attach a copy of the department ensure... Periods of record retention you submit an outdated application, the new owner of a Pharmacy license requires the of! Nebraska within 30 days of the change occurs convenience, you may download and print your forms. Will mail them to you changes of ownership and requires a written request to change or Add a dba.... Pharmacy is required, Harrisburg, PA 17105-2649 ( Courier in South Carolina Pharmacist.: ( 803 ) 896-4596 Non-Resident Pharmacy permit application new permit change to existing permit permit. You have submitted all your documentation, please allow 6 weeks before submitting a contact Us form to Board. 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