This page is NOT for Pharmacy Technicians or Technician Trainees.
For Technician Registration click here)
Pharmacist Student Intern Application and Forms- for a student currently enrolled in an Accreditation Council for Pharmacy Education approved College of Pharmacy program.
Extended Intern Application and Forms - for a foreign graduate or pharmacist applicant who must obtain intern hours to fulfill licensure requirements.
Order Replacement Intern Card A duplicate intern card may be obtained by submitting the following to the Board office: 1. A statement outlining the circumstances under which the document was lost or destroyed. 2. The name,address and intern number on the document; and 3. A cashier's check or money order for $20 payable to the board.
Information Regarding Criminal History
Change of Address Form