250 FEE MUST ACCOMPANY THIS APPLICATION - OK 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your Pharmacy License number and the date issued in the designated fields at the top of the form.
3. Select the applicable fees for your application type by checking the boxes next to Pharmacy License, Drug Supplier Permit, or Parenteral Permit. Ensure you calculate the total amount due accurately.
4. In Section A, clearly print your name and/or doing business as (dba) name along with your address. This information is crucial for processing your application.
5. Indicate your type of ownership by checking one of the options provided in Section B. If there has been a change of ownership since your last renewal, answer accordingly in Section C.
6. Complete Sections D through H by providing details about your pharmacy type, designated pharmacist-in-charge, and any relevant applicant history questions. Be thorough and honest in your responses.
7. Finally, ensure that you sign and date the application where indicated. Remember that this signature must be notarized before submission.

Start using our platform today to fill out your application quickly and efficiently!