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Ph226 2026
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- Click ‘Get Form’ to open the PH226 in the editor.
- Begin by entering the Registered Name of Pharmacy in the designated field. Ensure accuracy as this is crucial for identification.
- Next, provide the Address of Pharmacy. Include all relevant details to avoid any confusion.
- Locate your Pharmacy Registration Number and input it in the corresponding field. Remember, this should not be the store number of a chain drug store.
- Fill in the Establishment E-mail address for communication purposes.
- In the section for notification, write your name and pharmacist license number clearly. Specify the date you resigned from your position as supervising pharmacist.
- Finally, sign and print your name at the bottom of the form before submitting it via email or mail as instructed.
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Related links
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PH226 - Notice of Resignation of Supervising Pharmacist. Complete this form and forward it to the New York State Board of Pharmacy