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Licensing

Licensee Database

Licensure Information

Below are various forms/applications which are available for download in Adobe Acrobat Adobe Acrobat symbol format.
Simply download the form to your computer and print it out so that it can be filled out by hand or by typewriter.

Pharmacist Licensure Information

Pharmacy Technician Registration Application

All Pharmacy Technician Registrations expire annually on March 31st regardless of date initial registration is issued. There is no statutory provision for extended or pro-rated initial registration periods.

Non-Resident/Mail-Order Pharmacy Application

All Non-Resident/Mail-Order Pharmacy Registrations expire annually on March 31st regardless of date initial registration is issued. There is no statutory provision for extended or pro-rated initial registration periods.

In-State Pharmacy Forms (ONLY FOR USE BY PHARMACIES LOCATED IN NEW HAMPSHIRE)

New Pharmacy Application (NH In-State Pharmacies Only)

All In-State Pharmacy Permits expire annually on December 31st regardless of date initial license is issued. There is no statutory provision for extended or pro-rated initial license periods.

Amend-A-Pharmacy Permit Form

The form below is used to change the pharmacist-in-charge or to change the name of a pharmacy at a NH licensed in-state pharmacy only.

Prescription Drug/Device Manufacturers/Wholesalers/Distributors or Brokers (Third Party Logistics Companies)

Complete and return this application if you are manufacturing and/or providing these products to NH entities at wholesale only and not to the end-user (e.g. a patient).

All Prescription Drug/Device Manufacturer/Wholesaler/Distributor/Broker licenses expire annually on June 30th regardless of date initial license is issued. There is no statutory provision for extended or pro-rated initial license periods.

Limited Retail Drug Distributors

The Board has 3 subcategories of Limited Retail Drug Distributors (LRDD's) and there annual licensing fees are as follows:

Limited Retail Drug Distributor (Public Health Clinic) – $150.

Limited Retail Drug Distributor (Methadone Maintenance / Detox Facility) – $250.

Limited Retail Drug Distributor (Medical Gases and/or Prescription Devices) – $150.

All Limited Retail Drug Distributors (LRDD) licenses expire annually on June 30th regardless of date initial license is issued. There is no statutory provision for extended or pro-rated initial license periods.

Adobe Acrobat symbolAdobe Acrobat Reader format. You can download a free reader from Adobe.





State of New Hampshire Board of Pharmacy
121 South Fruit Street | Concord, NH 03301-2412
(603) 271-2350 | Fax: (603) 271-2856
pharmacy.board@nh.gov

copyright 2013. State of New Hampshire