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New/Change Application

Application for Registration as a Drug Manufacturer

Use this form for ownership changes, relocation, and new facilities.

Note: All out-of-state manufacturers, you must attach a copy of your last inspection report and a copy of your current license from the state in which the facility is located.


Renewal forms are mailed to the facility mailing address that the Board of Pharmacy has on record. Renewals are due May 1 of each year.


General Information

Laws and Rules Regarding Manufacturers:
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