Contact for Apply to change information on an existing pharmacy
Board of Registration in Pharmacy
The Details of Apply to change information on an existing pharmacy
What you need for Apply to change information on an existing pharmacy
For relocation
- You will need to fill out the Application for Relocation of a Pharmacy or Pharmacy Department, found below
- You need to return previously issued permits with the application
- You need to pay the relocation fee
- You need to submit an official blueprint or certified architectural plans, drawn to scale
- These must clearly designate both the prescription and patient consultation areas
- The pharmacy department should be outlined in red
- You need to complete and submit the Compliance Inspection Form, found below
- This should be completed by a pharmacist within 30 days of submitting the relocation application
- Signed affidavit
- The pharmacist who will manage the pharmacy or pharmacy department must be sign the affidavit on the application, and have it witnessed by a Notary Public
For changing the manager of the pharmacy or pharmacy department
- You will need to fill out the Application for Change in Manager of a Pharmacy, found below
- A sworn statement confirming there was a complete inventory evaluation of controlled substances in Schedules II, III, IV, and V
- The evaluation should be filed with the pharmacy’s controlled substance records
- Both the outgoing and incoming pharmacist Managers of Record must sign this statement
- If you are unable to get these signatures, consult the application for other options
- The original pharmacy permit
- A payment of the application fee(s), listed below
- Any additional information as determined by the Board
- 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
For transfer of ownership
- You will need to fill out the Application for Transfer of Ownership of a Pharmacy or Pharmacy Department, found below
- 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
- If the corporation is incorporated in the Commonwealth:
- 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 Compliance Inspection Form, found below
- 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 pharmacy
- You can pay the fee(s) with either a certified check, money order, or personal check. Make it payable to the Commonwealth of Massachusetts
- The fee(s) are non-refundable
Name | Fee | Unit |
---|---|---|
Application for relocation of a pharmacy or pharmacy department | $525 | each |
Application for change in manager of a pharmacy | $525 | each |
Application for transfer of ownership of a pharmacy or pharmacy department | $525 | each |
Handling charge for returned checks | $23 | each |
How to apply Apply to change information on an existing pharmacy
If you are relocating
- Download the Application for Relocation of a Pharmacy or Pharmacy Department, found below
- Fill out the application
- Include any and all attachments
- Include payment of all applicable fees as checks or money orders
- Mail application to:
Board of Registration in Pharmacy
239 Causeway St.
Suite 200, 2nd Floor
Boston, MA 02114
If you are changing the manager
- Download the Application for Change in Manager of a Pharmacy, found below.
- Fill out the application
- Include any and all attachments
- Include payment of all applicable fees as checks or money orders
- Mail application to:
Board of Registration in Pharmacy
239 Causeway St.
Suite 200, 2nd Floor
Boston, MA 02114
If you are transferring ownership
- Download the Application for Transfer of Ownership of a Pharmacy or Pharmacy Department, found below
- Fill out the application
- Include any and all attachments
- Include payment of all applicable fees as checks or money orders
- 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 pharmacy
Open PDF file, 94.07 KB, for
Change of Pharmacy Hours
(PDF 94.07 KB)
Open DOCX file, 17.55 KB, for
Change of Pharmacy Hours
(DOCX 17.55 KB)
Contact for Apply to change information on an existing pharmacy
Address
250 Washington Street, Boston, MA 02108
Phone
Fax
(617) 973-0980