Louisiana Board of Pharmacy - State of Louisiana

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photo-pharmacist State of Louisiana

Forms & Applications

 Pharmacy Technician Candidates & Pharmacy Technicians

 

Pharmacy Technician Candidates

030 ~ Application for New Pharmacy Technician Candidate Registration

031 ~ Pharmacist's Certification of Hours of Practical Experience Earned by Pharmacy Technician Candidate

032 ~ Pharmacist's Certification of Pharmacy Technician Practice in Nonresident State



090 ~ Notice of Change in Mailing Address

091 ~ Notice of Name Change

092 ~ Notice of Pharmacy Employment

 

Pharmacy Technicians

040 ~ Application for New Pharmacy Technician Certificate


150 ~ Application for New Therapeutic Marijuana (TM) Designation


041 ~ Application for Renewal of Pharmacy Technician Certificate for Year 2021-2022

041-L ~ Application for Late Renewal of Pharmacy Technician Certificate for Year 2021-2022

041-M ~ Application for Renewal of Pharmacy Technician in Active Duty Military Service for Year 2021-2022

041-MS ~ Application for Renewal of Pharmacy Technician Military Spouse for Year 2021-2022



041-R ~ Application for Reinstatement of Lapsed Pharmacy Technician Certificate


090 ~ Notice of Change in Mailing Address

091 ~ Notice of Name Change

092 ~ Notice of Pharmacy Employment



Note:
  If your certificate has been expired for more than 30 days, it is too late to renew it.  However, you can apply for the reinstatement of your certificate.  To do so, please complete Form No. 41-R ~ Application for Reinstatement of Lapsed Pharmacy Technician Certificate (see link above) and send it with all attachments and payment to the Board office.