Get Ne Application To Amend A License To Operate A Pharmacy 2018-2025

Filling out the NE Application To Amend A License To Operate A Pharmacy is an important process for pharmacy owners wishing to update their license. This guide provides step-by-step instructions to help you complete the application effectively and efficiently online.

Follow the steps to submit your application online.

1. Click ‘Get Form’ button to obtain the form and open it in the editing interface.
2. Complete Section A by providing detailed pharmacy facility information, including the pharmacy inspector’s name, pharmacy name, license number, pharmacy address (street/P.O. Box/route, phone number, city, state, and zip), and the names and addresses of owners, partners, or corporate officers.
3. In Section B, select the reason for amending the pharmacy license. Choose from changing the pharmacist-in-charge, continuation of the pharmacy license by heirs or estate of a deceased licensee, or a name change. Each option may require specific details such as effective dates and names.
4. For a change in pharmacist-in-charge, ensure you include the previous and new pharmacist’s license numbers and remember to submit a copy of the controlled substance inventory within 30 days after the change.
5. In Section C, sign the affidavit to affirm that you are authorized to submit this application. Include your printed name, title, and the date of signing.
6. Once all sections are completed and reviewed for accuracy, save any changes. You may download, print, or share the amended application form as needed.

Ensure your pharmacy operations are compliant by completing your amendment application online today!