MARYLAND BOARD OF PHARMACY

MD PHARMACY LAWS AND REGULATIONS

REQUEST FORM

Thank you for requesting a copy of the Maryland Pharmacy Laws and Regulations.

Please fill out the form below and forward it to the Board along with a check in the amount of $23.00 per copy, payable

to the Maryland Board of Pharmacy.

Your copy(s) will be mailed to you in 7-10 days.

The latest edition law book also include a searchable CD containing Maryland pharmacy laws.

Email, fax or mail this request to the attention of:

Briget Melvin

Maryland Board of Pharmacy

4201 Patterson Avenue

Baltimore, MD 21215-2299

Tel: 410 -764-4755 Fax: 410 – 358-6207

Your Name: ___________________________________________________

Your Organization: _______________________________________________

Mailing Address: _________________________________________________

City: ________________________ State: ________ Zip: _________

Telephone # ( )________ Ext.______ Fax # ( )______________

Email Address:

Number of Copies: _______ @ $23.00 per copy / Payment: $___________

Type of Business: Distributor _____________________

Pharmacy Chain _____________

Independent ________

Other _____________

Legal/Regulatory _______________

Other _______________________

Thank you!

Email: mdbop@dhmh.state.md.us Web Site: www.mdbop.org