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TEXAS STATE BOARD OF PHARMACY333 Guadalupe Street, Suite 3500, Austin TX 78701
Pharmacist Name Change
The Boards records and a pharmacists license renewal certificate must accurately reflect the legal
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What is name change form?
Name change form is a legal document used to request a change in a person's name.
Who is required to file name change form?
Anyone who wishes to legally change their name is required to file a name change form.
How to fill out name change form?
To fill out a name change form, you typically need to provide your current name, the new name you wish to use, and a reason for the name change.
What is the purpose of name change form?
The purpose of a name change form is to legally change a person's name.
What information must be reported on name change form?
The information typically required on a name change form includes current name, new name, reason for name change, contact information, and any supporting documents.
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