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SUPERVISING PHARMACIST AGREEMENT
I agree to notify the State Pharmacy Board and the NYS Department of Health, Bureau of. Enrollment, of any change of my Supervising Pharmacist status.
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Ala. Admin. Code r. 680-X-2-.12 - Supervising Pharmacist
Change of Supervising Pharmacist form provided by the Board. The name of the supervising pharmacist shall be placed in a conspicuous place in the
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PH205 Notice of Change of Supervising Pharmacist
Instructions: Complete this form and forward to the New York State Board of Pharmacy by email at pharmbd@nysed.gov, or by mail to 89.
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