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GEORGIA BOARD OF PHARMACY 2 Peachtree Street, N.W., 6th Floor Atlanta, GA 30303 (404) 651-8000 REQUEST FOR CHANGE OF PHARMACIST IN CHARGE (PIC) (NON-RESIDENT PHARMACY FACILITIES ONLY) Please fax this
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How to fill out non-resident pharmacy pic change:

01
Obtain the necessary forms from your state's pharmacy board or regulatory agency. These forms may be available online or by contacting the agency directly.
02
Fill out the personal information section of the form, including your name, contact information, and any professional credentials or license numbers required.
03
Provide details about your current pharmacy and the non-resident pharmacy pic change you are requesting. This may include information about the new pharmacy location, changes in ownership or management, and any additional services or certifications being added.
04
Attach any supporting documentation required, such as proof of ownership or management changes, new licensure or certifications, and any other relevant paperwork.
05
Review the completed form for accuracy and completeness. Make sure all required fields are filled out and all necessary attachments are included.
06
Submit the form and any supporting documentation to your state's pharmacy board or regulatory agency according to their specified instructions. This may include mailing the form, submitting it online, or delivering it in person.
07
Follow up with the agency to ensure your non-resident pharmacy pic change request is received and processed. This may involve contacting them directly or checking the status of your request online.

Who needs non-resident pharmacy pic change?

01
Pharmacists or pharmacy owners who operate a pharmacy in a state where they are not a resident.
02
Individuals who are seeking to relocate their pharmacy practice to a different state and need to update their non-resident pharmacy pic information.
03
Those who have experienced changes in ownership or management of their non-resident pharmacy and need to update their registration accordingly.
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Non-resident pharmacy PIC change refers to updating the designated pharmacist in charge for a pharmacy located outside the state or country.
Non-resident pharmacies are required to file a PIC change when there is a change in the designated pharmacist in charge.
To fill out non-resident pharmacy PIC change, the pharmacy must submit the necessary forms with the updated information of the new designated pharmacist.
The purpose of non-resident pharmacy PIC change is to ensure that there is always a responsible pharmacist in charge of the pharmacy's operations.
The non-resident pharmacy PIC change must report details of the old and new designated pharmacists, along with any relevant contact information.
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