4729-5-05 Pharmacist and pharmacy intern change of name, address or employment.

(A) A pharmacist or pharmacy intern, who has a legal change of name, shall notify the board of pharmacy within thirty 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; or

(3) A certified copy of a marriage certificate.

(B) Requests for duplicate certificate of registration and/or a license, to be issued in the new name, shall be accompanied by the following:

(1) The certificate of registration and/or license issued in the original name; and

(2) The required fee.

(C) Upon receipt of the required documents and fee in paragraphs (A) and (B) of this rule, the board will forward the duplicate certificate of registration and/or license issued in the new name.

(D) A pharmacist or pharmacy intern who changes their mailing address shall notify the board of pharmacy of the new address within thirty days after the effective date of such change.

(E) A pharmacist or pharmacy intern who changes their place of employment shall notify the board of pharmacy of the address of the principal place where they practice their profession, including pharmacist placement services, within thirty days after they have commenced such practice.

Effective: 3/1/2017
Five Year Review (FYR) Dates: 11/29/2016 and 03/01/2022
Promulgated Under: 119.03
Statutory Authority: 4729.26
Rule Amplifies: 4729.12
Prior Effective Dates: 9/10/76, 3/21/88, 7/1/93