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Get the free SATELLITE PHARMACY APPLICATION # 854 110 (Rev 4/15)

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PENNSYLVANIA STATE BOARD OF PHARMACY (717) 7837156 Mailing Address: (USPS) PO Box 2649 Harrisburg, PA 171052649www.dos.pa.gov/pharm stpharmacy@pa.gov Courier Address: (UPS, FedEx, etc.) PA Dept of
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How to fill out satellite pharmacy application 854

01
Obtain a copy of the satellite pharmacy application form 854.
02
Fill out all required fields on the application form, including contact information, pharmacy license number, and any other requested details.
03
Make sure to provide any supporting documentation, such as proof of insurance or accreditation, if required.
04
Review the completed application form to ensure all information is accurate and complete.
05
Submit the application form and any accompanying documents to the appropriate regulatory agency or governing body.

Who needs satellite pharmacy application 854?

01
Any pharmacy looking to operate a satellite location or provide pharmacy services at a separate physical location may need to fill out satellite pharmacy application 854.
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Satellite pharmacy application 854 is a form used for applying to operate a satellite pharmacy, which is a pharmacy that is located away from a main pharmacy but operates under the same licensing.
Any pharmacy wishing to operate a satellite pharmacy is required to file satellite pharmacy application 854.
To fill out satellite pharmacy application 854, the pharmacy must provide information on the location of the satellite pharmacy, details of the medications to be stocked, and information on the supervision of the satellite pharmacy.
The purpose of satellite pharmacy application 854 is to ensure that satellite pharmacies are operating in compliance with state laws and regulations.
Information such as the location of the satellite pharmacy, details of the medications stocked, and supervision details must be reported on satellite pharmacy application 854.
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