| PHARMACY TECHNICIANS – E-mail: tlawrence@albop.com |
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New Application
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E-mail tlawrence@albop.com to reinstate a pharmacy technician registration
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Duplicate Registration Request Form
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TO CHANGE YOUR ADDRESS OR EMPLOYMENT CLICK HERE
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Technician Training Verification Form
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| PHARMACISTS – E-mail: lmartin@albop.com |
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New Application
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E-mail lmartin@albop.com to reinstate a pharmacist’s license
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Duplicate License/Registration Request
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TO CHANGE YOUR ADDRESS OR EMPLOYMENT CLICK HERE
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College Affidavit
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Controlled Substance Waiver
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Change of Supervising Pharmacist
Both Incoming and Outgoing Pharmacist must complete
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| INTERNS – E-mail: lmartin@albop.com |
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New Application
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Practical Training / Internship Report
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Pharmacy Internship Training Agreement (TO BE COMPLETED BY NON-LICENSED PHARMACIES)
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TO CHANGE YOUR ADDRESS OR EMPLOYMENT CLICK HERE
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Duplicate License/Registration Request
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| CERTIFICATIONS - E-mail: lmartin@albop.com |
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Preceptor Application
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Consultant Application
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Nuclear Pharmacy and Pharmacist Certification Application
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| IN-STATE PHARMACIES - E-mail: tking@albop.com |
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New Pharmacy Application
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New Pharmacy Application- Check List
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New Institutional Pharmacy Application
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Reinstatement/Change of Ownership Pharmacy Application
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Institutional Reinstatement/Change of Ownership Application
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Pharmacy Change of Name or Address Form
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Change of Supervising Pharmacist
Both Incoming and Outgoing Pharmacist must complete
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Burglary Procedures
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Closing A Pharmacy in Alabama
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Non-Pharmacist Key Holder Form
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Revocation of Non-Pharmacist Key Holder Form
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Duplicate License/Registration Request
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Controlled Substance Waiver
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Inventory of Controlled Substances Book
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| NON-RESIDENT PHARMACIES - E-mail: tking@albop.com |
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New Non-Resident Pharmacy Application
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| 797 Sterile Compounding Questionnaire
(Must also submit VPP Inspection)
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795 Non-Sterile Compounding Questionnaire
(Must also submit VPP Inspection) |
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Change of Name or Address Form
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Reinstatement/Change of Ownership Form
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Duplicate License/Registration Request
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Controlled Substance Waiver
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Change of Supervising Pharmacist
Both Incoming and Outgoing Pharmacist must complete
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Checklist For Closing a Non-Resident Pharmacy
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| PHARMACY SERVICES – E-mail: tking@albop.com |
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New Pharmacy Services In-State Application (Must appear before the Board before license can be granted)
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New Pharmacy Services Out-of-State Application
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Reinstatement/Change of Ownership Application
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Change of Name or Address Form
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Duplicate License/Registration Request
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Change of Supervising Pharmacist
Both Incoming and Outgoing Pharmacist must complete
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| PRECURSOR – E-mail: kpickett@albop.com |
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New Precursor Application
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Duplicate License Request Form
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For reinstatement, E-mail KPickett@albop.com
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| OXYGEN – E-mail: tking@albop.com |
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New Retail Medical Oxygen Application (email to tking@albop.com)
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Retail Medical Oxygen Reinstatement/Change of Ownership, Name or Address Application email to tking@albop.com
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New Oxygen Application (Manufacturer/Wholesaler) email to kpickett@albop.com
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Duplicate License Request Form
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| FACILITIES – E-mail: kpickett@albop.com |
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See Alabama Administrative code 680-X-2-.23 Section 1 for Facility Definitions
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Facility Application Frequently Asked Questions
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New Manufacturer Application
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New Wholesale Distributor Application
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New Private Label Distributor Application
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New Third-Party Logistics Application
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New Repackager Application
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New 503B Outsourcing Application
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Facility Change of Ownership Form
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Facilities Name and Address Change
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Change of Designated Representative Form
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Individual History Affidavit
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Business History Affidavit
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Application Contact Form
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Controlled Substance Waiver
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Duplicate License Request Form
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For reinstatement, E-mail KPickett@albop.com
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| CONSUMER SERVICES – E-mail: pwright@albop.com |
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Complaint Form
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Copy of in-state inspections E-mail pwright@albop.com
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