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CANNON BUILDING 861 SILVER LAKE BLVD., SUITE 203 DOVER, DELAWARE 199042467STATE OF DELAWAREBOARD OF PHARMACYTELEPHONE: (302) 7444500 FAX: (302) 7392711 WEBSITE: DR.DELAWARE.GOV EMAIL: customerservice.dpr@delaware.govHOSPITAL
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To fill out the form pharmacist-in-charge pic, follow these steps:
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Start by providing your personal information such as your name, contact details, and address.
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Enter the name of the pharmacy for which you are the pharmacist-in-charge.
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List any other individuals who hold management or supervisory roles in the pharmacy.
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Indicate the date when you began your role as the pharmacist-in-charge.
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Mention your experience and qualifications in the pharmacy field.
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Provide details about any disciplinary actions or revocations of your license, if applicable.
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Sign and date the form to certify the accuracy of the information provided.

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The form pharmacist-in-charge pic is required for pharmacists who are appointed as the pharmacist-in-charge at a pharmacy.
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It is necessary for regulatory purposes and ensures that the pharmacy has a qualified and responsible individual overseeing its operations.
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This form is typically required by pharmacy licensing boards or regulatory bodies.
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Form pharmacist-in-charge (PIC) and is a document that designates the licensed pharmacist responsible for the overall operation of a pharmacy.
The pharmacy owner or operator is required to designate a pharmacist-in-charge (PIC) and file the form.
To fill out form pharmacist-in-charge (PIC) and, the pharmacy owner or operator needs to provide the necessary details of the designated pharmacist, including their license information.
The purpose of form pharmacist-in-charge (PIC) and is to ensure that there is a licensed pharmacist in charge of the pharmacy's operations at all times.
The form must include the name, license number, and contact information of the designated pharmacist.
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