PHARMACIST FORMS

You may also renew your pharmacist license online! Click ONLINE RENEWAL SYSTEM

DOWNLOAD APPLICATIONS
Right-Click on the blue links below and select "Save Target as.." to download the documents, then print or save and attach them to an e-mail to the Board via our Support Portal at: https://marylandboardofpharma.desk.com/.


Note:  ** Assistance For Military Personnel/Veterans and Their Spouses  

  

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FORM TYPE

 

ADOBE ​​PDF VERSION ​
ON-SCREEN FILLABLE

​PHARMACIST RENEWAL APPLICATION LINK
​PHARMACIST REINSTATEMENT APPLICATION LINK
​PHARMACIST INITIAL APPLICATION LINK
​PHARMACIST RECIPROCITY APPLICATION LINK
DRUG THERAPY ​​INSTRUCTION FORM LINK
​APPLICATION FOR
         PARTICIPATION IN DTM
LINK
PHARMACIST DTM INFORMATION FORM LINK
​CE SPONSOR APPROVAL FORM LINK
​CE ATTENDEE APPROVAL FORM LINK
​VACCINATION RENEWAL FORM LINK

​PHARMACIST ADMINISTRATION OF 
      VACCINATION REGISTRATION FORM

LINK
​LAW BOOK ORDER FORM LINK
​ADDRESS/EMPLOYMENT CHANGE LINK
​NAPLEX/MPJE FEE INCREASE MEMO LINK
 

 

 

Board of Pharmacy Contact Information
4201 Patterson Avenue  
Baltimore, MD 21215

Call Center Phone # (410)764-4755

Fax # (410)358-6207

Email: dhmh.mdbop@maryland.gov

   Last  Updated:  10/10/2014