Alabama Board of Pharmacy

Forms, Apps and Publications


Instructions for Pharmacists and Technicians to change address or employment

Click on “My Profile Icon” on the home screen. Enter your license number and the last 4 of your social security number and Log In. To change your address, click the Edit button. Enter the changes and select save. To update your employment, under “Employer Details” click “Add New”. For the easiest search select Business Name (ex. CVS) then enter the City. Click the Search Button. Scroll down and Click the Hand next to the correct choice. If you are not employed in the state, select “Not Alabama Licensed Employer”. Update employment for companies only related to pharmacy.

PHARMACY TECHNICIANS – E-mail: tlawrence@albop.com
New Application 
E-mail tlawrence@albop.com to reinstate a pharmacy technician registration
Duplicate Registration or Change of Name Form  
TO CHANGE YOUR ADDRESS OR EMPLOYMENT CLICK HERE 

PHARMACISTS – E-mail: lmartin@albop.com
New Application 
E-mail lmartin@albop.com to reinstate a pharmacist’s license
Duplicate License/Registration Request  
TO CHANGE YOUR ADDRESS OR EMPLOYMENT CLICK HERE 
College Affidavit  
Controlled Substance Waiver  
Change of Supervising Pharmacist  

INTERNS – E-mail: lmartin@albop.com
New Application 
Practical Training / Internship Report  
Pharmacy Internship Training Agreement (TO BE COMPLETED BY NON-LICENSED PHARMACIES)  
TO CHANGE YOUR ADDRESS OR EMPLOYMENT CLICK HERE 
Duplicate License/Registration Request  

CERTIFICATIONS - E-mail: lmartin@albop.com
Preceptor Application  
Consultant Application 
Nuclear Pharmacy and Pharmacist Certification Application  

IN-STATE PHARMACIES - E-mail: tking@albop.com
New Pharmacy Application 
New Institutional Pharmacy Application 
Reinstatement/Change of Ownership Pharmacy Application  
Institutional Reinstatement/Change of Ownership Application 
Pharmacy Change of Name or Address Form  
Change of Supervising Pharmacist  
Burglary Procedures 
Closing A Pharmacy in Alabama  
Non-Pharmacist Key Holder Form  
Revocation of Non-Pharmacist Key Holder Form  
Duplicate License/Registration Request  
Controlled Substance Waiver  
Inventory of Controlled Substances Book  

NON-RESIDENT PHARMACIES - E-mail: tking@albop.com
New Non-Resident Pharmacy Application   .
797 Sterile Compounding Questionnaire  
795 Non-Sterile Compounding Questionnaire  
Change of Name or Address Form  
Reinstatement/Change of Ownership Form 
Duplicate License/Registration Request  
Controlled Substance Waiver  
Change of Supervising Pharmacist  

PHARMACY SERVICES – E-mail: tking@albop.com
New Pharmacy Services In-State Application (Must appear before the Board before license can be granted)    .
New Pharmacy Services Out-of-State Application  
New Pharmacy Services Out-of-State Checklist  
Reinstatement/Change of Ownership Application  
Change of Name or Address Form  
Duplicate License/Registration Request  

PRECURSOR – E-mail: kpickett@albop.com
New Precursor Application   .
Duplicate License Request Form  
For reinstatement, E-mail KPickett@albop.com

OXYGEN – E-mail: tking@albop.com
New Retail Medical Oxygen Application (email to tking@albop.com)   .
Retail Medical Oxygen Reinstatement/Change of Ownership, Name or Address Application email to tking@albop.com   .
New Oxygen Application (Manufacturer/Wholesaler) email to kpickett@albop.com   .
Duplicate License Request Form  

FACILITIES – E-mail: kpickett@albop.com
Definitions of Facilities   .
New Manufacturer Application   .
New Wholesale Distributor Application   .
New Private Label Distributor Application   .
New Third-Party Logistics Application  .
New Re-packager Application   .
Individual History Affidavit (must complete for all new facility applications)   .
Business History Affidavit (must complete for all new facility applications)  .
Application Contact Form (must complete for all new facility applications)  .
Payment form (must complete for all new facility applications)   .
Controlled Substance Waiver  
Change of Designated Representative Form   .
Facility Change of Ownership Form   .
Facilities Name and Address Change   .
Duplicate License Request Form  
For reinstatement, E-mail KPickett@albop.com

CONSUMER SERVICES – E-mail: pwright@albop.com
Complaint Form  
Copy of in-state inspections E-mail pwright@albop.com

-Adobe Acrobat Required.  NOTE: Some applications are legal size and require 8 1/2 x 14 paper when using Printable form.