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All Board of Pharmacy
Licensees/Registrants
Change of Address
Reporting A Change Of Address
All NH
Board of Pharmacy licensees/registrants must notify the
Board in writing (by mail, fax, or e-mail) of a change
of address within 15 days of the change of address.
Note: New Hampshire in-state
pharmacies must fill out a new
pharmacy
application
for a change of address and an inspection of the new
location is required prior to opening. To ensure
that the correct changes are made to Board records, the
licensee/registrant should include the following
information in the written notification:
(1)
full name of licensee/registrant;
(2) license/registration number;
(3) new address and phone number (if applicable);
and
(4) former address.
E-mail Change of
Address
to the Board Of Pharmacy
All Board of Pharmacy
Licensed Business Entities
(Pharmacies,
Wholesalers/Distributors,
Limited Retail Drug Distributors)
Change of
Ownership
Reporting A Change Of Ownership
Ownership changes require
a new application (with applicable fee) be
submitted to the Board. Go to the
Applications & Forms section of the
Board's website to print out a form. A cover
letter (on company letterhead) should also be included
noting the company's current Board of Pharmacy license
number and the effective date of ownership change.
In-State Pharmacies &
Out-of-State (Mail-Order) Pharmacies
Reporting A Change Of
Pharmacist-In-Charge
(PIC)
or Change of Pharmacy Name
NH In-State
Pharmacies:
New Hampshire in-state pharmacies must complete
and submit (along with a $150 fee) an
Amend-A-Pharmacy Permit Form in
order to change the name of the pharmacy or of a
change in pharmacist-in-charge.
NH Registered
Out-Of-State / Mail-Order Pharmacies:
New Hampshire registered out-of-state,
mail-order pharmacies must send the Board written
notice (on pharmacy/company letterhead) of a change in
the name of the pharmacy (including a new DBA) or of a
change in pharmacist-in-charge. The letter should also
include the pharmacy's current Board of Pharmacy license
number and the effective date of change.
Manufacturers/Wholesalers/Distributors
(of Prescription Drugs/Devices) &
Limited Retail Drug Distributors
Reporting A Change Of Company Name
New Hampshire licensed
Prescription Drug/Device
Manufacturers / Wholesalers / Distributors & Limited
Retail Drug Distributors
must send the Board
written notice (on company letterhead) of a change in
the name of the company (including a new DBA). The
letter should also include the company's current Board
of Pharmacy license number and the effective date of
change.
Pharmacist / Pharmacy Technician
Change of Employment or Legal Name
Reporting A Change Of Employment
Pharmacists and pharmacy technicians must notify the
Board in writing - by mail, fax, or e-mail within 15
days of a change of employment. To ensure the correct
changes are made, the pharmacist/technician should
include the following information in the written
notification:
(1)
full name and license/registration number;
(2) name and address of new employer; and
(3) effective date of change.
E-mail Change of
Employment
to the Board Of Pharmacy
Change Of Legal Name
The Board's records and a
pharmacist's/pharmacy technician's license/registration
certificate must accurately reflect their actual legal
name. Pharmacists/pharmacy technicians who change their
name, through a legal name change (e.g., marriage or
divorce) must notify the Board of the change. The
following must be included in the notification of a
change of pharmacist's name:
(1) a letter of explanation which
includes the new name, clearly printed or typed
exactly as it is to appear on the
license/registration and in the Board records;
(2)
a copy of the legal document that changed the
name (e.g., marriage license, divorce decree or
court order);
(3)
the current address; and
(4) the license /
registration number of the pharmacist/technician.
The new license/registration
certificate and pocket card will be mailed approximately
1 week after receipt of the notice and copy of required
legal documentation.
E-mail Change of
Name
to the Board Of Pharmacy
A Scanned Copy of Marriage Certificate / Divorce
Decree / Court Order Must Also Be
Included.
Changes can also be mailed or faxed:
NH
Board of Pharmacy
57 Regional Drive
Concord, NH 03301
Fax:
(603) 271-2856 |
