All applications submitted to the Board have a one year expiration date before the applications are withdrawn. The Non-Resident Non-Dispensing Pharmacy permit is the only permit that requires the Pharmacist-In-Charge to be a South Carolina licensed Pharmacist. A separate Change of Permit application and fee must be submitted for each separate license. Pharmacist-Manager Responsibilities. Clinical Pharmacist Practitioner Forms and Information. A Nonresident Pharmacy is a pharmacy located outside New Mexico that ships, mails, or delivers in any manner prescription drugs to New Mexico patients or consumers. Name/address changes: Pharmacists may change their address, home phone number, email address, and name online through the Gateway. Welcome to the Pharmacy Homepage. Application for Re-Inspection of a Facility . NON-RESIDENT PHARMACIES - E-mail: tking@albop.com: New Non-Resident Pharmacy Application : 797 Sterile Compounding Questionnaire (Must also submit VPP Inspection) 795 Non-Sterile Compounding Questionnaire (Must also submit VPP Inspection) Change of Name or Address Form : Reinstatement/Change of Ownership Form If you have any issues with the email or fax line contact TSBP at (512) 305-8047 **Non-Resident Pharmacist-in-Charge must have a Texas Pharmacist License , see Outsourcing Facility Permit Application. Please contact the Board for more information. Non-Resident Louisiana Pharmacy Permit (for non-resident pharmacies only) 052 ~ Application for New Non-Resident Pharmacy Permit (Revised 01-01-2019) 057 ~ Application for Renewal of Nonresident Pharmacy Permit for Year 2021 ... 061 ~ Notification of Change of Pharmacist … This includes a sterile compounding pharmacy attached to a license. Non-Restricted Manufacturer Permit Application. When to Apply. Third-Party Logistics Provider Permit Application. Forms for Facilities (Out-of-State) Non-Resident Pharmacy Registration Application C. §2535).Non-Resident Pharmacies must comply with Title 24, Chapter 25 of the Delaware Code when dispensing for Delaware clients. Nonresident Pharmacy: as defined in regulation part 6.24. Address Correction (this includes change of street name or number made by the United States Postal Service, government entity, suite number, etc) Does NOT include a change of location. A policy and procedure manual is required with the initial application. The DRIC serves as supervisor or manager and is responsible for ensuring the wholesaler’s or veterinary food-animal drug retailer’s compliance with all the state and federal laws and regulations pertaining to practice and the applicable license. Wholesale Distributor License Application. The Colorado State Board of Pharmacy regulates pharmacists, pharmacy interns, in-state and nonresident pharmacies, in-state and out-of-state prescription drug wholesalers, satellite pharmacies, specialized prescription drug outlets, other outlets, and limited licenses. However, legal documentation of the name change or pharmacist change must be submitted. Request for Increase in Technician-to-Pharmacist Ratio. www.pharmacy.texas.gov and select the “Verification” tab. Warehouser Application. A pharmacy located outside Delaware must hold a Delaware Non-Resident Pharmacy permit in order to ship, mail, or deliver, in any manner, any controlled substance or prescription drug to a patient in Delaware (24 Del. When there is a name change of the pharmacy or a change in the pharmacist who is licensed by the state of Maryland as per the requirement for a Non-Resident Pharmacy Permit, a fee or inspection is not required.