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TELEPHONE: (302) 7444500 FAX: (302) 7392711 WEBSITE: DR.DELAWARE.GOV EMAIL: customer service. Dr state.DE.upstate OF DELAWARECANNON BUILDING 861 SILVER LAKE BLVD., SUITE 203 DOVER, DELAWARE 199042467BOARD
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How to fill out board of pharmacy affidavit

01
To fill out a board of pharmacy affidavit, follow these steps:
02
Begin by reading the instructions provided on the affidavit form thoroughly.
03
Fill in your personal information, such as your full name, contact details, and any relevant identification numbers.
04
Provide information about your educational background, including pharmacy school attended, graduation date, and any relevant degrees or certifications.
05
Fill out the section related to your pharmacy work experience, including details of previous employers, job titles, and dates of employment.
06
If applicable, provide information about any previous legal or disciplinary actions taken against you related to pharmacy practice.
07
Sign and date the affidavit to certify the accuracy of the information provided.
08
Ensure that all required supporting documents are attached as mentioned in the instructions.
09
Review the completed affidavit form for any errors or omissions before submitting it to the board of pharmacy.
10
Submit the filled out board of pharmacy affidavit form along with any required fees or documents as instructed by the board.

Who needs board of pharmacy affidavit?

01
The board of pharmacy affidavit is typically required by individuals who are seeking licensure or registration as a pharmacist or pharmacy technician.
02
It may also be needed by those who are applying for licensure in a different state or are undergoing a credentialing process.
03
Individuals who have had a change in their legal or disciplinary history related to pharmacy practice may also be required to submit a board of pharmacy affidavit.
04
It is important to check the specific requirements of the licensing or credentialing board to determine if a board of pharmacy affidavit is necessary.
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The board of pharmacy affidavit is a document that pharmacy professionals are required to file to report certain information to the state pharmacy board.
Pharmacy professionals including pharmacists and pharmacy technicians are required to file the board of pharmacy affidavit.
Pharmacy professionals can fill out the board of pharmacy affidavit by providing accurate information about their practice and any relevant updates.
The purpose of the board of pharmacy affidavit is to ensure that pharmacy professionals are compliant with state regulations and to provide transparency in the practice of pharmacy.
The board of pharmacy affidavit typically requires information such as contact details, license status, continuing education completed, and any disciplinary actions.
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