PHARMACIST FORMS

 

 

 

 

 

 

 

 

DOWNLOAD APPLICATIONS

RENEWAL
-- Application
- Continuing Education
 - Vaccination Renewal & CE

VACCINATION
- Instructions
- Application
- Vaccination Renewal & CE

REINSTATEMENT
- Instruction
- Application

EXAMINATION
- Application
- Oral English Instructions
- Internship
- Foreign Pharmacist
- NABP Applications

RECIPROCITY
- Requirements
- Board Application
- NABP Applications

DRUG THERAPY
- Process
- DTM Application Word

CONTINUING EDUCATION
 - Sponsor Approval Form
- Attendee Approval Form
- Obtain CE's Online Links

LAW BOOK
- Order Form (fee)

OTHER

- Report Address / Name / Employment  Change

- Duplicate License Form

- Written Verification Form

- Volunteer Form

- NABP ONLINE REGISTRATION for NAPLEX, MPJE and SCORE TRANSFER Click here and then click on Applications

- Roster Request Form

- Report or view missing or stolen prescription pads - Click Here

 

 

The Board is updating the pharmacist forms, enter your contact information and check the appropriate box to request that a new form be mailed to you or enter your email address to have the application packet emailed to you in Microsoft Word.  Click the links on the left to download the applications to your computer.

NEW FEE INCREASES EFFECTIVE FEBRUARY 1, 2010

 

You may also renew your pharmacist license online click - ONLINE RENEWAL SYSTEM

 

                Submit Request For Pharmacist Information
           Allow 7-10 days for processing
Name  
Address 
City 
State 
Zip Code 
Home Telephone # 
Business Telephone #
Email the Information to   
Enter "Do Not eMail" if you wish to have the information mailed via post office  to the address above.  

Information Requested 

   Pharmacist Examination Packet 

   Pharmacist Reciprocity Packet      

   Pharmacist Renewal Packet 

   Administer Vaccination Application

   Request Written Verification Form (Return Form w/fee)

   Fax or EMAIL Maryland Law Book Form (Return Form w/fee)

  Request Duplicate License:
       Never Received         Lost (fee)        Stolen(fee) 

   Report Change of Address
       (enter new address above and license number belowif licensed)

License or Candidate #   Candidate #     or   License #

 

 

                                                      RETURN TO  HOME PAGE

Board Pharmacy Pharmacist Contact Information
4201 Patterson Avenue  
Baltimore, Md 21215
(410)764-4759
(410)358-6207 (fax)

    Contact:  Doris James        DDJames@dhmh.state.md.us

   Last  Updated:  03/05/2010