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New Hampshire Board of PharmacyPHARMACY PRIMARY SITE INSPECTION121 South Fruit Street, Suite 401 Concord, NH 033012412 Tel.: (603) 2712350 Fax: (603) 2712856 Website: www.oplc.nh.gov/pharmacy9. Sample
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How to fill out 12 pharmacy primary site
How to fill out 12 pharmacy primary site
01
Start by gathering all the necessary information and documents required to fill out the 12 pharmacy primary site form.
02
Begin by entering the correct name and contact details of the pharmacy in the designated fields.
03
Provide the address of the primary site of the pharmacy, including the street, city, state, and zip code.
04
Specify the ownership type of the pharmacy, whether it is a sole proprietorship, partnership, corporation, etc.
05
Enter the license number and expiration date of the pharmacy’s primary site.
06
Indicate if the pharmacy offers any specialized services or if it is a retail pharmacy only.
07
Include information about the pharmacy’s operating hours and days of the week it is open.
08
Provide details on the pharmacy’s staffing, including the number of pharmacists and other personnel employed.
09
Fill in any additional information or comments regarding the pharmacy’s primary site.
10
Review the filled-out form for any errors or omissions before submitting it.
11
Sign and date the form to certify that all the information provided is accurate and complete.
12
Submit the completed form to the appropriate authority responsible for managing pharmacy licenses and certifications.
Who needs 12 pharmacy primary site?
01
Pharmacies and pharmacists who wish to obtain or renew a license for their primary site need to fill out the 12 pharmacy primary site form.
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What is 12 pharmacy primary site?
12 pharmacy primary site is a form used to report information about the primary site of a pharmacy.
Who is required to file 12 pharmacy primary site?
Pharmacies are required to file 12 pharmacy primary site.
How to fill out 12 pharmacy primary site?
To fill out 12 pharmacy primary site, pharmacies need to provide information about their primary location, contact details, and other relevant information.
What is the purpose of 12 pharmacy primary site?
The purpose of 12 pharmacy primary site is to ensure accurate reporting of pharmacy primary location information.
What information must be reported on 12 pharmacy primary site?
Pharmacies must report information such as primary location address, contact details, and other relevant information on 12 pharmacy primary site.
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