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Home : pharmacistforms

PHARMACIST FORMS

You may also renew your pharmacist license online! Click ONLINE RENEWAL SYSTEM

DOWNLOAD APPLICATIONS
Click on the blue links below to acess the documents, then print or save and attach them to an e-mail to the Board.
Note:  ** Assistance For Military Personnel/Veterans and Their Spouses

RENEWAL
-
Application (PDF)  or  (Microsoft Word format)

REINSTATEMENT
- Application (PDF)  or  (Microsoft Word format)


LICENSURE

- Application (PDF)  or  (Microsoft Word format)

RECIPROCITY
- Board Application (PDF)  or (Microsoft Word format)

DRUG THERAPY
- DTM Instruction Sheet

- Application for Participation in DTM (PDF)  or  (Microsoft Word format)  
- Pharmacist's Information Form (PDF)  or    (Microsoft Word format)

CONTINUING EDUCATION
- Sponsor Approval Form (PDF)    or   (Microsoft Word format)
- Attendee Approval Form (PDF)   or   (Microsoft Word format)
- Obtain CE's Online Links

VACCINATION
- Vaccination Renewal Form (PDF)   or   (Microsoft Word Format)
-
Pharmacist Administration of Vaccination Registration Form (PDF)  or 
(Microsoft Word format)

LAW BOOK
- Order Form (PDF) or (Microsoft Word format)

OTHER
- Report Address / Name / Employment  Change
- Duplicate License Form
- Written Verification Form
NAPLEX/MPJE Fee Increase
- NABP ONLINE
REGISTRATION for NAPLEX, MPJE and SCORE TRANSFER Click here and then click on Applications  

  

 

Board of Pharmacy Contact Information
4201 Patterson Avenue  
Baltimore, MD 21215

Call Center Phone # (410)764-4755

Fax # (410)358-6207

Email: dhmh.mdbop@maryland.gov

   Last  Updated:  10/10/2014