Get Request For Verification Of Licensure Of A Business (pharmacy Permit) - Portal State Pa

The Request For Verification Of Licensure Of A Business (pharmacy Permit) is an essential document for confirming the licensing status of a pharmacy in Pennsylvania. This guide provides clear and concise steps to help you complete the form accurately and efficiently.

Follow the steps to fill out the form successfully.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Fill in the licensee information section for the pharmacy. Provide the pharmacy name, permit number, e-mail address, telephone number, and the pharmacy's address including the city and state.
3. In the mailing information section, provide the name and address where the completed verification should be sent. Ensure that this address is an official state board or licensing authority address to avoid processing delays.
4. Indicate the board name, street address, city, state, and zip code for the receiving authority. Double-check that all information is accurate.
5. Prepare a check or money order for the verification fee of $15 for each request, made payable to the 'Commonwealth of Pennsylvania.' Remember to account for any returned checks which incur a $20 charge.
6. Once all fields are complete and the fee is included, review the entire form for correctness. Save your changes if you are using an editable format.
7. Finally, print the completed form, sign it if necessary, and send it to the mailing address provided at the beginning of this guide. You may also choose to save or share a copy of the form for your records.

Complete your verification request online today to ensure a smooth processing experience.