OH PHA-0413 2012-2024 free printable template

OHIO STATE BOARD OF PHARMACY Tel 614-466-4143 Fax 614-752-4836 77 S. HIGH ST. ROOM 1702 Email licensing bop.ohio. gov COLUMBUS OHIO 43215-6126 Web www. pharmacy. ohio. gov CHANGE OF ADDRESS NOTICE FORM 0413 Complete the form then hand sign and date. Gov COLUMBUS OHIO 43215-6126 Web www. pharmacy. ohio. gov CHANGE OF ADDRESS NOTICE FORM 0413 Complete the form then hand sign and date. Make a copy for your file. TYPE OR PRINT LEGIBLY Mail or fax the original to the Board office. I HEREBY GIVE...

The Board of Pharmacy is at: Board Office of the Health Resources and Services Administration — Building 1135 Ohio Stadium Road — Suite 800 — Columbus, Ohio 43215 (Main Level) Telephone: FAX: E-Mail: I HEREBY GIVE NOTICE THAT MY ADDRESS HAS CHANGED as FOLLOWS: Address Changes. As of this date, the address for the Board of Pharmacy of the Ohio State College of Pharmacy has changed from the address as printed on this Notice Form, the current address of which is as follows: Ohio State Pharmacy Board, 901 W. High St., Room 1318 — Columbus, OH 43215, to the address on the map attached to this Notice Form. Pursuant to the provisions of the Ohio Revised Code, the Board has changed the mailing address of its offices from the Office to the Office of the Chairperson, 901 W. High Street, Room 1318, Columbus, Ohio 43215. Thank You; Robert G. Hart, PhD Registered Pharmacist, MPH, BHF Pharmacy. Board of Pharmacy Ohio State College of Pharmacy 901 W. High Street, Room 1318 Columbus, Ohio 43215 Tel.:, Fax: Fax: Email: Dr. Robert Hart Email: rrhartohio.edu I hereby declare as follows: I have read and understand this Notice of Change of Address, as required by Ohio Revised Code Section 4301.35(D)(i). This Notice includes my information and my address; and I agree. Please take into consideration the information and my address you have given the Board on the Notice of Change of Address Notice form, and I hereby request the change of my address to that of the address on the Notice of Change of Address I and the address of Board of Pharmacy are now residing at. I understand that I am now responsible for updating the registration record in my name. I understand that I should not leave inactive any prescription that were filled in the previous name prior to September 1, 1998. My signature (i.e.

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What is ohio board change address?

The Ohio board change address refers to the official process of updating and notifying relevant authorities about a change in address for a business or organization in the state of Ohio.

Who is required to file ohio board change address?

Businesses and organizations registered in Ohio are required to file a board change address if they experience a change in their primary mailing address or principal place of business.

How to fill out ohio board change address?

To fill out the Ohio board change address, you can download the appropriate form from the Ohio Secretary of State's website. The form needs to be completed with accurate information regarding the old and new addresses of the business or organization. Once completed, the form can be submitted either online or through mail to the Ohio Secretary of State.

What is the purpose of ohio board change address?

The purpose of the Ohio board change address is to ensure that businesses and organizations operating in Ohio maintain accurate and up-to-date address information. This allows relevant authorities and stakeholders to communicate effectively and deliver important correspondence.

What information must be reported on ohio board change address?

When filing the Ohio board change address, the following information must be reported: the current business name, the previously registered business address, the new business address, a contact person's name and phone number, and the effective date of the address change.

When is the deadline to file ohio board change address in 2023?

The specific deadline for filing the Ohio board change address in 2023 has not been provided. Please refer to the official Ohio Secretary of State's website or contact their office directly for the most accurate and up-to-date information regarding the deadline.

What is the penalty for the late filing of ohio board change address?

The penalty for the late filing of the Ohio board change address may vary depending on the specific circumstances and regulations. It is recommended to consult the official resources of the Ohio Secretary of State or seek professional advice to understand the potential penalties and consequences accurately.

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