Apply to change information on an existing pharmacy

If you need to relocate, change the manager, or transfer the ownership of your pharmacy, you can apply here.

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
  • 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

  1. Download the Application for Relocation of a Pharmacy or Pharmacy Department, found below
  2. Fill out the application
    • Include any and all attachments
  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

If you are changing the manager

  1. Download the Application for Change in Manager of a Pharmacy, found below.
  2. Fill out the application
    • Include any and all attachments
  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

 

If you are transferring ownership

  1. Download the Application for Transfer of Ownership of a Pharmacy or Pharmacy Department, found below
  2. Fill out the application
    • Include any and all attachments
  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 pharmacy

Contact for Apply to change information on an existing pharmacy

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