Request approval for a pharmacy renovation or expansion

Pharmacy information

• Name
• Drug store permit number
• Address
• Telephone number
• Email
• Manager of Record
• Manager of Record license number

Renovation/expansion information

• Describe the purpose for the renovation/expansion
• Describe all the changes that will take place to the pharmacy in this renovation/expansion (attach more sheets if needed)
• If the square footage of the pharmacy will change with the renovation, please explain
• List projected dates for the renovation/expansion
• Submit a certified blueprint or certified floor plan reflecting the renovations/expansion
• You must also comply with all state/local building codes as they relate to this facility
• Adequate measures must be in place to maintain the security of all controlled substances at all times during the renovation/expansion