Contact & Employment Change

Only pharmacists, interns and technicians may submit address and employment changes online. Pharmacies and Drug Distributors must file a Change of Location application form, which can be found here.

Online changes will not be accepted without a name and license number.

Please allow 3 buisness days for processing.

Online changes will not generate a new registration certificate or license automatically.

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 for a duplicate registration or license, and pay a $20 duplicate issue fee. If you do not request a duplicate, the change will be reflected on your next renewal application.

Licensee Information

Previous Address

Current Address

Previous Employment (if changing employment)

Current Employment (if changing employment)