Petition for license reinstatement for pharmacists, technicians, and interns

What you need for Petition for license reinstatement for pharmacists, technicians, and interns

• You must meet all the conditions for license reinstatement. These are contained in either an agreement entered into with the Board or in a Board final decision and order.
• You must submit a reinstatement packet to the Board in accordance with Policy 2011-02.

How to file Petition for license reinstatement for pharmacists, technicians, and interns

By mail

1. Download and read the requirements in the 2011-02 License Reinstatement Following Surrender, Suspension or Revocation. Then complete the form at the bottom.
2. Gather and include any and all attachments and necessary fees
3. Mail completed form, attachments, and fees to:

   Board of Registration in Pharmacy
   239 Causeway St.
   Suite 500
   Boston, MA 02114

Downloads for Petition for license reinstatement for pharmacists, technicians, and interns

Open DOC file, 83.5 KB, for 2011-02 License Reinstatement Following Surrender, Suspension or Revocation (DOC 83.5 KB)

Contact for Petition for license reinstatement for pharmacists, technicians, and interns

Board of Registration in Pharmacy

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Address

239 Causeway St., 5th Floor, Suite 500, Boston, MA 02114

directions 

Phone

Main: Call Board of Registration in Pharmacy, Main: at (800) 414-0168

TTY: Call Board of Registration in Pharmacy, TTY: at (617) 973-0988

Online

Email Board of Registration in Pharmacy at pharmacy.admin@massmail.state.ma.us

Fax

(617) 973-0980