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TEXAS STATE BOARD OF PHARMACY 333 Guadalupe Street, Suite 3500 Austin, Texas 78701 5123058000 www.pharmacy.texas.gov Request to Change the Name or Location of Pharmacy License Instructions: This form
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Read the instructions provided with the request to change form
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Gather all the necessary information and documents required for the change
03
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Start by filling out your personal information accurately in the designated sections
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Follow the form's instructions on how to provide details for the change you are requesting
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Who needs request to change form?

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Individuals who need to make a change to their previously submitted information
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Individuals who have encountered a change in their circumstances requiring an update
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Organizations or businesses seeking to update their registration or contact information
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Individuals or entities applying for a change in their legal status or permissions
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Request to change form is a form used to request a change in information or status.
Any individual or entity who needs to change information or status is required to file request to change form.
Request to change form can typically be filled out online, by mail, or in person following the instructions provided on the form.
The purpose of request to change form is to ensure accurate and up-to-date information or status.
The information that must be reported on request to change form typically includes current information, desired changes, and any supporting documentation.
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