(A) A pharmacist or pharmacy intern, who has a legal change of name, shall report the change to the board of pharmacy within sixty days from the effective date of such change. Such notification of a name change shall be accompanied by one of the following:
(1) A notarized affidavit;
(2) A certified copy of a court record;
(3) A certified copy of a marriage certificate.
(B) Requests for duplicate certificate of registration and/or an identification card, to be issued in the new name, shall be accompanied by the following:
(1) The certificate of registration and/or identification card issued in the original name; and
(2) The required fee.
Upon receipt of the required documents, the board will forward the duplicate certificate of registration and/or identification card issued in the new name.