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Forms, Applications and Instructions for Pharmacies

IMPORTANT NOTICE REGARDING PHARMACY & DME PERMIT MEETINGS: Permit meetings begin promptly at 10:00 am on the first Monday and the Monday prior to the third Tuesday of each month (unless otherwise noted - see calendar). Check-in time for the meeting is at 9:45 am. Late arrivals will not be allowed into the permit meeting. Accordingly, if you cannot arrive at the Board office before 10:00 am on the meeting date, your permit application will not be considered, and you will have to attend a future permit meeting.


Click here for instructions on how to print a duplicate pharmacy certificate.


Click here for PHARMACIST-MANAGER information/instructions.


 

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2012 Application for Registration and Permit to Conduct a Pharmacy Inside North Carolina

2012 Application for Registration and Permit to Conduct a Pharmacy Outside North Carolina

Internet Pharmacy Affidavit

Compounding Affidavit

Pharmacy Address Change Form

Ownership/Officer Change Form

Form for Closing a Pharmacy

Pharmacist-Manager Change Instructions

Out-of-State Pharmacist/Pharmacy Certification Form

Pharmacist-Manager Responsibilities

Request for Increase in Pharmacist-to-Technician Ratio

Drug Disaster & Loss Report

Drug Disposal Form & Procedures

Incident Report

Pharmacy Security Check List - developed by the National Association of Drug Diversion Investigators (NADDI)

Retail Pharmacy Self-Evaluation Check List

Controlled Substances Inventory Log

 


 

For questions about pharmacy permits, please contact Wendy Watson at 919.246.1050 ext. 221 or by email at wwatson@ncbop.org.