(A) A pharmacist, who has a legal change of name, shall notify the board of pharmacy, in a manner determined by the board, 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 a duplicate wall certificate shall be issued in the new name of the pharmacist and shall be accompanied by the following:
(1) The wall certificate issued in the original name; and
(2) The required fee.
(C) Upon receipt of the required documents and fee pursuant to paragraphs (A) and (B) of this rule, the board will forward the duplicate wall certificate issued in the pharmacist's new name.
(D) A pharmacist who changes their mailing or email address shall notify the board of pharmacy, in a manner determined by the board, of the new address within thirty days after the effective date of such change.
(E) A pharmacist who changes their place of employment shall notify the board of pharmacy, in a manner determined by the board, of the address of the principal place where they practice, including pharmacist placement services, within thirty days after they have commenced such practice.
Five Year Review (FYR) Dates: 03/01/2023
Promulgated Under: 119.03
Statutory Authority: 4729.26
Rule Amplifies: 4729.12
Prior Effective Dates: 09/10/1976, 03/21/1988, 07/01/1993, 7/1/94, 1/1/11, 03/01/2017