N.H. Admin. Code § Ph 1608.03

Current through Register No. 50, December 12, 2024

Section Ph 1608.03 - Renewal Application Contents and When Filed

Renewal applications shall be filed with the board in accordance with the following:

(a) Applications for renewal of pharmacy intern registration shall be made online at https://nhlicenses.nh.gov/eGov/Login.aspx.

(b) Each applicant shall provide the following information online as part of his or her renewal:

(1) Original registration number;

(2) Name, current mailing address, and home telephone number;

(3) Social security number, date of birth, and email address;

(4) Name and address of the college or university where currently enrolled in, or graduated from, the pharmacy program;

(5) Date or anticipated date of graduation from accredited pharmacy program;

(6) Record of convictions of violations of federal, state, or local drug or pharmacy-related laws or regulations;

(7) Applicant's signature and date; and

(8) Employment name, address, phone number, and the name of the supervisor and pharmacist-in-charge;

(c) The application and the prescribed fee of $25 shall be filed with the board no later than September 30.

N.H. Admin. Code § Ph 1608.03

Adopted byVolume XXXIV Number 50, Filed December 11, 2014, Proposed by #10721, Effective 11/22/2014.

Amended by Volume XXXVIII Number 50, Filed December 13, 2018, Proposed by #12670, Effective 11/17/2018, Expires 11/17/2028.