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Click ‘Get Form’ to open the nj initial registration in the editor.
In Section A, provide your name and the physical address of your business. Ensure that you do not use a P.O. box, as a valid New Jersey location is required.
Move to Section B and enter your pharmacy licensure information, including your pharmacy permit number.
In Section C, list the contact details of the individual responsible for managing the registered location, including their name, address, and phone number.
Complete Section D by answering all certification questions honestly. If applicable, attach any necessary documentation regarding previous registrations or legal issues.
Finally, review all entries for accuracy before signing and dating the application at the bottom of Section D.
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The additional fee is payable in full at the time of initial registration and at every renewal. Beginning July 1, 2024, the annual fee is $250. The annualRead more
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