APPLICATION FOR A NEW CONNECTICUT IN-STATE PHARMACY 2026

1. Click ‘Get Form’ to open the APPLICATION FOR A NEW CONNECTICUT IN-STATE PHARMACY in our editor.
2. Begin by filling out the Pharmacy Information section. Enter the New Pharmacy Name, Location Address, Telephone Number, and Email Address for correspondence.
3. Complete the Owner Information section. Specify the Type of Business and provide the Owner's Name, Business Address, and Contact Details.
4. In the Pharmacy Manager section, input the Name and CT Pharmacist License # of the Pharmacy Manager. Indicate if they have appeared before the Commission of Pharmacy.
5. Attach all required documents such as a list of officers/directors, a copy of your prescription label, and facility blueprints using our platform’s attachment feature.
6. Review all sections for completeness. Ensure that you have signed and dated the certification at the end of the form.
7. Once completed, download or share your application directly from our editor for submission to the Department of Consumer Protection.

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