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New Mexico Regulation and Licensing Department Board of Pharmacy5500 San A NT on Io D rive N E, SU it e C, Alb up u her EU e, New Mex i co 87109 (5 0 5) 2 2 2 9 8 3 0 (8 0 0) 56 5 91 0 2 T of l F
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How to fill out practitioner-controlled-substance-renewal-application

01
Obtain the practitioner-controlled substance renewal application form from the appropriate regulatory agency.
02
Provide all necessary personal information, such as name, address, and contact information.
03
Include details about your current practice, including license number and any relevant certifications.
04
List out the controlled substances you are authorized to prescribe and their corresponding schedules.
05
Fill in any required sections regarding past disciplinary actions or legal issues.
06
Review the completed application for accuracy and completeness before submitting it to the agency.

Who needs practitioner-controlled-substance-renewal-application?

01
Healthcare practitioners who are authorized to prescribe controlled substances need to fill out and submit a practitioner-controlled substance renewal application in order to renew their authorization.
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It is an application used to renew the authorization for a practitioner to prescribe controlled substances.
Practitioners who prescribe controlled substances are required to file the renewal application.
The application can be filled out online or submitted through mail with the required information and supporting documents.
The purpose is to ensure that practitioners are authorized and qualified to prescribe controlled substances safely.
Practitioners need to report their contact information, license details, prescribing history, and any relevant certifications or training.
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