Louisiana Board of Pharmacy - State of Louisiana

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photo-pharmacist State of Louisiana

Forms & Applications

Pharmacy Interns


Application for New Pharmacy Intern Registration

     For online applications, please select this link to the web portal page on our secure server.
          > To apply for your second or subsequent credential issued by the Board, please follow the instructions in the first paragraph of the web portal page and log into your existing account.
          > To apply for your first new credential issued by the Board, you must first create an account; to do so, please follow the instructions in the second paragraph of the web portal page.
     For paper applications, please select the appropriate link below:

020 ~ Application for New Pharmacy Intern Registration



021 ~ Pharmacist's Certification of Hours of Professional Experience Earned by Pharmacy Interns WITHIN Louisiana

022 ~ Pharmacist's Certification of Hours of Professional Experience Earned by Pharmacy Interns OUTSIDE Louisiana



019 ~ Application for New Medication Administration Registration

150 ~ Application for New Therapeutic Marijuana (TM) Designation



090 ~ Notice of Change in Mailing Address

091 ~ Notice of Name Change

092 ~ Notice of Pharmacy Employment

203 ~ Product Order Form: Louisiana Pharmacy Law Book

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