Get Ca 17m-45 2008-2026

The CA 17M-45 form is essential for individuals and organizations applying for a community pharmacy permit in California. This guide provides a clear, step-by-step approach to completing the form online, ensuring that all necessary information is accurately provided.

Follow the steps to successfully complete your CA 17M-45 application.

1. Click 'Get Form' button to obtain the form and open it in the editor.
2. Begin by entering the name and address of the pharmacy. Ensure all fields are filled; if something does not apply, state 'N/A.'
3. Select the type of pharmacy practice by checking all applicable boxes such as retail, home health care, mail order, or skilled nursing facility.
4. Indicate whether this application is for a new pharmacy, change of location, or change of ownership of an existing pharmacy.
5. If applicable, provide the previous name, address, and license number of the pharmacy for ownership or location changes.
6. Provide contact details for the pharmacist-in-charge, including their name, license number, and telephone number.
7. Complete the certification of personnel section, ensuring that all owners and major shareholders sign and date the application.
8. Once all fields are complete, review the application for accuracy before submitting.
9. Save the form in your preferred format, and consider printing for your records.
10. Submit the completed application and any required fees according to the instructions provided in the application.

Prepare and submit your CA 17M-45 application online to advance your pharmacy permit process.