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- For Consumers
- For Pharmacists
- For Pharmacies
- For Pharmacy Technicians & Technician Candidates
- For Pharmacy Interns
- (CDS) Controlled Dangerous Substance Licenses
- (PMP) Prescription Monitoring Program
- (DME) Durable Medical Equipment Providers
Forms & Applications
Pharmacy Interns
020 ~ Application for New Pharmacy Intern Registration
021 ~ Pharmacist's Affidavit for Certifying Hours for Pharmacy Intern Earned WITHIN Louisiana
022 ~ Pharmacist's Affidavit for Certifying Hours for Pharmacy Intern Earned OUTSIDE Louisiana
090 ~ Notice of Change of Mailing Address or Employment
091 ~ Notice of Name Change
201 ~ Product Order Form - Duplicate Credential
CONTACT US...
Louisiana Board of Pharmacy | 3388 Brentwood Drive | Baton Rouge, La. 70809 | Phone: (225) 925-6496 | Fax: (225) 925-6499 | Email Us
The Louisiana Board of Pharmacy (LBP) supports public access to information stored and maintained on this site. All the information provided is believed to be accurate and reliable; however, the Board shall not be held liable for improper or incorrect use of the data described and/or contained herein.
