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Board of Pharmacy
State of Alaska > Commerce > Professional Licensing > Board of Pharmacy    > Forms
 
Pharmacist, Intern, Technician Forms
Pharmacist Application #08-4032, Revised 08/19/09. Application of pharmacist licensure by examination, by score transfer, or by credentials through NABP.
Pharmacy Intern Application #08-1468, Revised 08/19/09. Application for licensure as a pregraduate or postgraduate. License required before beginning an internship in the state.
Pharmacy Technician Application #08-4353, Revised 01/28/10. License required before beginning employment as a technician.
Pharmacist Collaborative Practice Application #08-4410, Revised 06/22/06.
Intern Affidavit of Experience #08-4068, Revised 02/13/07.
Change of Pharmacy Manager Notice #08-4064, Revised 02/13/07.

 
 
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Applications may be viewed and printed with Adobe Acrobat Reader 6.0 or higher. If you do not have Adobe Acrobat Reader 6.0 or higher, please click on the Adobe logo and download the free software now. If you are unable to view or download an application, please contact us by telephone or e-mail. Providing your complete mailing address will enable us to mail you the application.

Other application forms may be mailed to you or picked up at a division office. Completed applications must be signed and submitted to the division with the appropriate fees.

 
 

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