Forms

Pharmacist:

• Application by Endorsement
• Application by Examination

 

Pharmacy Intern:

• Pharmacy Intern Application

 

Pharmacy Technician:

• Pharmacy Technician Application

 

Local & Non-Resident Pharmacy, Facility, Wholesale:

• Local Pharmacy License Application
• Local Wholesaler License Application
• Non-Resident Pharmacy License Application
• Non-Resident Wholesaler License Application

 

Renewal Applications:

2025 Renewal Applications will be made available on June 1, 2025.

• Pharmacist, Pharmacy Technician, Pharmacy Intern Renewal Application
• Local & Non-Local Pharmacy, Facility, Wholesale Renewal Application

 

Other Forms:

• HPLO Complaint Form