South Carolina Board of Pharmacy

Facility Notification Forms

• Notification of Designated Representative Change
  This form is to be completed by wholesale, manufacturer, third party logistics, and outsourcing licensees.
• Duplicate Permit Request
• Corporate Officer Change
• Closing a Facility
• Notification of Permit Holder Change
• Notification of Pharmacist-In-Charge Change
• Notification of Consultant Pharmacist Change
• Pharmacy Employee Update Form
• EMS - Notification of Consultant Pharmacist Change Form
• Health System Non-Dispensing Permit Rostered Sites Change Form