Pharmacist preceptor application washington form 2026

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The document is an application packet for the Pharmacist Preceptor Original/Renewal Certification, detailing the required forms, instructions, and information necessary for applicants. It includes sections on demographic information, personal data questions regarding fitness to practice, and certification requirements. Applicants must provide a Social Security Number, undergo background checks, and demonstrate professional experience. The packet also outlines the process for submitting applications to the Pharmacy Quality Assurance Commission in Washington State.

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Click ‘Get Form’ to open the pharmacist preceptor application in the editor.
Begin by filling out the Demographic Information section. Enter your Social Security Number, full legal name, National Provider Identifier Number (if applicable), birth date, and place of birth.
Provide your permanent address, including city, state, zip code, and contact numbers. Ensure all information is accurate as it will be used for correspondence.
Answer the Personal Data Questions honestly. If you answer 'yes' to any question, include a detailed explanation and any required documentation.
List all licenses held in the Other License section. Include details such as type, year issued, and current status.
Complete the Professional Experience section by detailing your work history since graduation. Attach additional pages if necessary.
Sign and date both the Preceptor Certification and Applicant’s Attestation sections to validate your application.

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How do I become a pharmacist preceptor?

To become a pharmacy preceptor, you should hold an active pharmacist license and have experience in a relevant practice setting. Specific programs may require a minimum number of years in practice, or they may require you to have worked with students, residents, or new graduates previously.

Why am I not eligible to renew my license online in Washington state?

Continuing education requirements Pharmacists must complete 30 hours or 3.0 CEUs of continuing education during each renewal cycle.

What are the CE requirements for pharmacist license renewal in Washington state?

To Renew by Mail: Your credential may be renewed up to 90 days before it expires. You should receive a courtesy renewal reminder six to eight weeks before the credential expires. If you do not receive the notice within four weeks of your expiration date, call 360-236-2750 or email the medical commission for help.

How many CE hours for pharmacy technician in Washington state?

The Washington State Pharmacy Quality Assurance Commission has adopted rules which establish continuing education (CE) requirements for pharmacy technicians. The rule requires pharmacy technicians to complete 10 hours of continuing education (CED) or 1.0 CE unit annually.

How do I renew my Washington state pharmacy intern license?

Currently renewals can only be sent in the mail and cannot be renewed online. To expedite a renewal call the WA Department of Health Customer Service office at (360) 236-4700 to pay the renewal fee over the phone, and they will provide instructions on how to submit the attestation.

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