Online Forms

Pharmacy Interns

• Foreign Pharmacy Graduates Information for Licensure
  
• Pharmacy Interns attending a college outside the state of Louisiana
• Application for Pharmacist License
  
   

Pharmacists

• Application for Licensure
  
• Application for Renewal of Pharmacist License
  
• Pharmacist Address & Employment Change
  
• Affidavit for Replacement of Original Pharmacist Permanent Certificate
  
  

Pharmacy Technicians and Pharmacy Technician Trainees

       (For specific information, please go to Pharmacy Technicians Licensing Requirements.)

       (For the rule that governs this program,
            go to Chapter 8, Pharmacy Technicians of Title 46 in the Lawbook.)

Pharmacies

• Automated Medication System Registration Application
  
  (For pharmacies located inside the state of Louisiana.)
   
• Application for Renewal of Pharmacy Permit & Louisiana CDS License (one page application)

        (For pharmacies locate outside the state of Louisiana.)

• Application for Renewal of an Out-of-State Pharmacy Permit of an Out-of-State Parenteral/Enteral
  Pharmacy Permit (one page application)
   

Emergency Drug Kit

• Official Application for an Emergency Drug Kit Permit
  
• Application for Renewal of an Emergency Drug Kit Permit

© Created by Louisiana Board Of Pharmacy. All Rights Reserved. Updated: 09/16/03.