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Application for Pharmacy Permit
Pharmacy Inspection Questions
The Board shall approve a remodeled pharmacy for a facility that:
Fee Information
Applicants must submit a $50 pharmacy permit application fee in the form of a check or money order made payable to the "Professional Licensing Agency". The fee must be submitted with the application to the following:
Professional Licensing Agency
402 W Washington Street, Room W072
Indianapolis, IN 46204.
What Do I Submit With The Completed Application for a Pharmacy Permit?
→ $50 pharmacy application fee;
→ drawing or blueprint showing physical size (include linear dimensions) and general layout of the floor plan; show the location of the prescription counter top with dimensions, location of the refrigerator, and prescription sink;
→ if you answered “yes” to either of the Inquiry of Law Violations questions on page 3 of the application, then you must explain fully, including all related details, in a signed and notarized statement. You must also submit documentation regarding to the incident(s) in question.
Upon receipt of all requested information, the Board office will contact the individual listed on the application to schedule an inspection.
Questions?
If you have any questions, please contact our office at pla4@pla.IN.gov.