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Home / Licensees & Applicants / Forms & Applications / Notice of Change

Changes in any information required for licensure must be reported to the Board within ten (10) days [535:25-3-7(d)].  This includes name, address and employment.

  1. Pharmacists, Interns & Technicians may use the form below to report a change of address and/or change of employment via MAIL or FAX. [see Board contact info for mailing address or fax number]

  2. Pharmacists, Interns & Technicians may also send notice of change via E-MAIL at pharmacy@pharmacy.ok.gov.  Please include name and license number in all email correspondence.

  3. Licensed Pharmacies & Facilities must complete a new application for any change of owner, change of location or change of name (see FORMS & APPLICATIONS).

 

  • Notice of Address or Employment Change Form

 

It is imperative that license numbers be included on all correspondence submitted to the Board.  Change forms without the appropriate license numbers will not be processed.

 

Last Modified on 03/03/2022
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