California pharmacy 2026

1. Click ‘Get Form’ to open the California Pharmacy self-assessment in the editor.
2. Begin by entering your pharmacy name and address in the designated fields at the top of the form.
3. Select your ownership type by checking the appropriate box (Sole Owner, Partnership, Corporation, etc.).
4. Fill in your permit number and expiration date, along with any additional permit numbers if applicable.
5. Complete each section of the self-assessment by marking 'Yes', 'No', or 'N/A' for each item. If you select 'No', provide a corrective action plan in the space provided.
6. Ensure all staff members are listed accurately, including their RPH or INT numbers and expiration dates.
7. Review all entries for accuracy before saving or printing your completed assessment.

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