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State of AlaskaSOA / CommerceDCCED / Corporations, Business, & Professional LicensingCBPL / Professional Licensing / Board of Pharmacy / Applications & Forms

Board of Pharmacy

Do not email applications containing social security numbers or credit card information.

Emergency Applications

The emergency permit is to be used to respond to an urgent situation, which is defined in 12 AAC 52.110.

Please do not submit a Pharmacy Emergency Permit Application without first contacting the Executive Administrator for the Alaska Board of Pharmacy, Michael Bowles at (907) 465-1073 to discuss the situation warranting an Emergency Permit. Pharmacy Emergency Permit Applications will only be considered for a “health crisis” as outlined in the Board of Pharmacy statutes and regulations or Alaska Department of Health, or an acute situation where public health and safety may be affected. The State of Alaska’s Department of Health does not currently have any declared public health emergencies.

Emergency PERMIT

Emergency permit applicants: download the instructions HERE.

Initial Applications

Pharmacists, Technicians, and Interns

Online applications are currently being edited. Please check back in a few days to apply online or you can apply by paper using the forms below.

Please do not submit both an online and paper application. Submitting duplicate applications creates more work for staff and causes significant delays in processing applications.

Questions? Review the FAQs found here.

Facilities

Please do not submit both an online and paper application. Submitting duplicate applications creates more work for staff and causes significant delays in processing applications.

Renewal Applications

Pharmacists and Pharmacy Technicians: Do not sign or date your renewal form until you have completed your continuing education requirements. This requirement is clear in the text above the signature line on pharmacist and technician renewal forms. CEs completed after the date on your renewal form will be disregarded in an audit. The envelopes and postmark dates used for division correspondence become part of your permanent record.

Late renewal applicants must submit proof of completing the required continuing education (CE) activity by attaching copies of CE certificates of completion to the renewal application.

Pharmacists and Technicians

It is Time to Renew Your License!

Click Here to Renew Online

Facilities

Reinstatements

  • Reinstatement of a Pharmacist License
    #08-4225, Revised 10/11/2023
    Reinstatement applications are only used for Pharmacist licenses that have been lapsed more than 2 years but less than 5 years.

Self-Inspection Reports

Miscellaneous Forms

The following forms may also be initiated online via the MY LICENSE self-service portal.

Please Note:

We no longer require a form to be completed for changes to pharmacists-in-charge or designated representatives. A pharmacist designated to replace the pharmacist-in-charge of a licensed pharmacy, including both in state and out of state pharmacies, shall notify the board in writing (this can be either email or letter) not later than 30 days after that designation. A designated representative of a wholesale drug distributor, outsourcing facility, third-party logistics provider, or manufacturer designated to replace an outgoing designated representative of a facility shall notify the board not later than 30 days after that designation, by submitting a completed change of designated representative notice in writing (this can be either email or letter). The outgoing designated representative shall also notify the board in writing not later than 30 days after departure.

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Mission Statement

Ensure that competent, professional and regulated commercial services are available to Alaska consumers.

Anchorage
Mailing/Physical Address

550 W 7th AVE, STE 1500
Anchorage, AK 99501-3567

Phone: (907) 269-8160
Fax: (907) 269-8196
Investigations Fax: (907) 269-8195

Office Hours

Monday-Friday
8:00am-11:30am
12:30pm-3:00pm

Juneau

USPS must use PO Box

Mailing Address

P.O. Box 110806
Juneau, AK 99811-0806

Physical Address

333 Willoughby AVE, 9th FL
State Office Building
Juneau, AK 99801-1770

Phone: (907) 465-2550
Fax: (907) 465-2974