Get the free CHANGE OF PHARMACIST-IN-CHARGE (PIC)
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Pharmacy. texas. gov/changeaddress. asp Please complete and mail or fax to TEXAS STATE BOARD OF PHARMACY 333 GUADALUPE STREET SUITE 3-500 AUSTIN TX 78701 512 305-8000 Voice 512 305-8075 FAX Non-Resident Pharmacist-in-Charge must have a Texas Pharmacist License see Rule 291. INCOMING PHARMACIST IN CHARGE Printed Name Texas Rph License Number Signature Date DEPARTING PHARMACIST IN CHARGE Rph License Number Will you remain on staff YES NO Note If the departing and the incoming...
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How to fill out change of pharmacist-in-charge pic
How to fill out change of pharmacist-in-charge pic:
01
Obtain the change of pharmacist-in-charge form from the appropriate regulatory agency or organization. This form may be available online or can be requested from the agency directly.
02
Fill out the form with accurate and up-to-date information. Provide details such as the name of the pharmacy, address, and contact information.
03
Clearly state the reason for the change of pharmacist-in-charge. This could be due to retirement, resignation, or any other circumstances.
04
Provide the name, license number, and contact information of the current pharmacist-in-charge who will be replaced.
05
Include the name, license number, and contact information of the new pharmacist-in-charge who will be taking over the responsibilities.
06
Attach any required supporting documents, such as proof of licensure for the new pharmacist-in-charge or any additional documentation specified by the regulatory agency.
07
Review the completed form to ensure all necessary information is provided and there are no errors or omissions.
08
Sign and date the form as required. If there are multiple individuals involved, ensure that each person signs their respective sections.
09
Submit the form to the appropriate regulatory agency or organization as directed. This may involve mailing the form, submitting it online, or delivering it in person.
Who needs change of pharmacist-in-charge pic?
01
Pharmacies undergoing a change in their pharmacist-in-charge require this form. This could be due to various reasons such as retirement, resignation, or a new appointment.
02
Regulatory agencies or organizations that oversee the operation of pharmacies typically require this form to ensure proper record keeping and accountability.
03
Relevant stakeholders, such as pharmacy owners or management, may also need a change of pharmacist-in-charge form to update their records and comply with regulatory requirements.
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What is change of pharmacist-in-charge pic?
The change of pharmacist-in-charge pic refers to the process of officially updating the designated pharmacist in charge at a pharmacy.
Who is required to file change of pharmacist-in-charge pic?
Any pharmacy that undergoes a change in the pharmacist in charge is required to file the appropriate paperwork to notify the regulatory authorities.
How to fill out change of pharmacist-in-charge pic?
The change of pharmacist-in-charge pic form can typically be obtained from the state pharmacy board website and must be filled out with the necessary information regarding the new pharmacist in charge.
What is the purpose of change of pharmacist-in-charge pic?
The purpose of the change of pharmacist-in-charge pic is to ensure that regulatory authorities have updated information on the responsible pharmacist overseeing the operations of a pharmacy.
What information must be reported on change of pharmacist-in-charge pic?
The change of pharmacist-in-charge pic form usually requires information such as the name, license number, and contact details of the new pharmacist in charge.
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