Change of Pharmacist-in-Charge - Texas State Board of Pharmacy 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the Pharmacy License Number and Pharmacy Name at the top of the form. Ensure accuracy as this information is crucial for identification.
3. Fill in the address details including Street, City, State, and Zip Code. This helps in confirming the pharmacy's location.
4. Document the date when an inventory of controlled substances was taken. You will need to list all controlled substances, nalbuphine dosage forms, and tramadol dosage forms.
5. In the section for Incoming Pharmacist-in-Charge, enter their Printed Name, License Number, and Signature along with the PIC Start Date and Email.
6. For the Departing Pharmacist-in-Charge, provide their Printed Name, License Number, Signature, and PIC End Date. Indicate if they will remain on staff by selecting YES or NO.
7. Review all entries for accuracy before saving your changes. Once completed, you can easily download or share the document directly from our platform.

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