
Last updated: 5/15/2024
Nonresident Pharmacy License Application {DOH 690-255}
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Description
DOH 690-255 - NONRESIDENT PHARMACY LICENSE APPLICATION. This form is used for various purposes related to obtaining or updating a pharmacy license. It collects information such as demographic details, facility information, background questions about applicants, contact information, additional information about ownership changes, pharmacist details, and compliance statements. The form also includes sections for listing controlled substance registrations, providing background information, and detailing methods for maintaining records of sales. www.FormsWorkflow.com