Ph226 2026

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4.8 out of 5

101 votes

The document is a Notice of Resignation form for supervising pharmacists in New York State, requiring the owner of a registered pharmacy to notify the State Board of Pharmacy within seven days of any change in the supervising pharmacist. It includes instructions for completing and submitting the form, as well as necessary details such as pharmacy registration number and the resigning pharmacist's information.

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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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Versions	Form popularity	Fillable & printable
2017	4.8 Satisfied (101 Votes)
2008	4 Satisfied (53 Votes)

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