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Indiana Professional Licensing Agency

PLA > Professions > INDIANA BOARD OF PHARMACY > Licensee Information and Applications > In-State Pharmacy Information > Name Change Name Change

If you have a facility name change, you must submit legal documentation verifying the change.  Please send the information to the Professional Licensing Agency at 402 West Washington Street, Room W072, Indianapolis, Indiana 46204, e-mail a copy to pla4@pla.IN.gov, or fax the information to (317) 233-4236.   If the name change is due to a change in ownership, you must submit a new licensing application and required documentation.

To receive an updated license with your changed name, please verify that the name change has been completed by our office at http://www.in.gov/pla/license.htm.  Once it has been updated, you may request a duplicate license to be issued to you at the same website.  There is a $10 fee to receive a new license.

Questions
If you have any questions, you may contact the Board office at pla4@pla.IN.gov.