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$250 FEE MUST ACCOMPANY THIS APPLICATION

$250 FEE MUST ACCOMPANY THIS APPLICATION 2025

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The document is a renewal application form for pharmacy licenses issued by the Oklahoma State Board of Pharmacy. It includes sections for applicant information, fee details, types of ownership and pharmacy, designated pharmacist information, and a series of questions regarding the applicant's history related to disciplinary actions and criminal charges. The form must be completed clearly and submitted with appropriate fees and documentation, with a warning that licenses not renewed within 30 days after expiration are subject to cancellation.

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