Louisiana Board of Pharmacy - State of Louisiana

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photo-pharmacist State of Louisiana

Forms & Applications

 Pharmacy Technicians & Pharmacy Technician Candidates

 

Pharmacy Technician Candidates

030 ~ Application for New Pharmacy Technician Candidate Registration

031 ~ Pharmacist's Affidavit to Certify Hours of Practical Experience for Pharmacy Technician Candidates

040 ~ Application for New Pharmacy Technician Certificate

090 ~ Notice of Change in Mailing Address or Employment

091 ~ Notice of Name Change

201 ~ Product Order Form - Duplicate Credential

 

Pharmacy Technicians

041 ~ Application for Renewal of Pharmacy Technician Certificate for Year 2017-2018

041-M ~ Application for Renewal of Pharmacy Technician in Active Duty Military Service for Year 2017-2018

041-L ~ Application for Late Renewal of Pharmacy Technician Certificate for Year 2017-2018

041-R ~ Application for Reinstatement of Pharmacy Technician Certificate

090 ~ Notice of Change in Mailing Address or Employment

091 ~ Notice of Name Change

150 ~ Application for Therapeutic Marijuana (TM) Designation   NEW!!

201 ~ Product Order Form - Duplicate Credential



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 Pharmacy Technician Certificate (see link above) and send it with all attachments and payment to the Board office.