Apply to change information on an existing nuclear pharmacy

If you need to relocate or change ownership of you nuclear pharmacy, you can apply here.

Bureau of Health Professions Licensure

The Details of Apply to change information on an existing nuclear pharmacy

What you need for Apply to change information on an existing nuclear pharmacy

For relocation

  • The scheduled hours during which the nuclear pharmacy is to remain open. This includes the time of opening and closing during regular business hours for each day of the week.
  • An Application for MA Controlled Substance Registration
    • This includes a fee.
  • An official blueprint or certified architectural plans drawn to scale clearly designating the nuclear pharmacy.
  • If the corporation is incorporated in the Commonwealth:
    • Submit a copy of the corporation's Articles of Organization, signed and sealed by the Secretary of State.
  • If the corporation in incorporated in another state:
    • Submit a copy of the corporation's Foreign Corporation Certificate, signed and sealed by the Secretary of State.
  • A statement of the name and address of each officer and director of the corporation and the position held.
  • The d/b/a name of the business.
  • If the corporation is not publicly owned, list:
    • The total amount and type of stock issued to each stockholder.
    • The names and addresses of said stockholder(s).
  • Any additional information as determined by the Board.
  • Signed affidavit
    • You must sign the affidavit on the application and have it witnessed by a Notary Public.

For changing ownership

  • You need to meet all the requirements of 247 CMR 6.03.
  • If the pharmacist Manager of Record is changing:
    • Attach an official bill of sale or minutes of meeting.
    • Include a certified copy of asset transfer.
  • If the new owner is a corporation:
    • If the corporation is incorporated in the Commonwealth:
      • Attach a copy of the corporation's Articles of Organization, signed and sealed by the Secretary of State.
    • If the corporation in incorporated in another state:
      • Attach a copy of the corporation's Foreign Corporation Certificate, signed and sealed by the Secretary of State pursuant to M.G.L. c. 181, § 4.
  • The name and address of each officer and director of the corporation and the position held.
  • The d/b/a name of the corporation.
  • If the corporation is not publicly owned:
    • The total amount and type of stock issued to each stockholder.
    • The names and addresses of said stockholder(s).
  • The corporation's outstanding permit and Massachusetts controlled substances registration.
  • A payment of the fee.
  • You need to complete and submit the Pharmacy Compliance Inspection Form.
    • This should be completed by a pharmacist within 30 days of submitting the transfer of ownership application.
  • Signed affidavit
    • The authorized representative of the pharmacy or pharmacy department must be sign the affidavit on the application, and have it witnessed by a Notary Public.

Fees for Apply to change information on an existing nuclear pharmacy

We accept either a checks or money orders, payable to the Commonwealth of Massachusetts.

All fees are non-refundable and non-transferable.

Name Fee Unit
Application for relocation to operate and manage a nuclear pharmacy $525 each
Application for MA controlled substance registration $225 each
Application for transfer of ownership of a nuclear pharmacy $525 each
Handling charge for returned checks $23 each

How to apply Apply to change information on an existing nuclear pharmacy

If you are relocating

  1. Download the Application for Relocation to Operate and Manage a Nuclear Pharmacy
  2. Fill out the application
  3. Attach appropriate documentation
  4. Include payment of all applicable fees as checks or money orders
  5. Mail application to:

Board of Registration in Pharmacy
239 Causeway St.
Suite 200, 2nd Floor
Boston, MA 02114

 

If you are transferring ownership

  1. Download the Application for Transfer of Ownership of a Nuclear Pharmacy.
  2. Fill out the application.
  3. Include payment of all applicable fees as checks or money orders.
  4. Mail application to:

Board of Registration in Pharmacy
239 Causeway St.
Suite 200, 2nd Floor
Boston, MA 02114

 

Downloads for Apply to change information on an existing nuclear pharmacy

Contact for Apply to change information on an existing nuclear pharmacy

Address
239 Causeway St., 5th Floor, Suite 500, Boston, MA 02114
Fax
(617) 973-0980

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