Pharmacist Interns

Change of Name/Address
A pharmacist intern shall notify the board within 10 days of a change of name by submitting the following

  • A statement requesting a name change and the original intern certificate;
  • A copy of the legal document (e.g., marriage certificate, divorce decree, etc) that changed the name of the pharmacist intern;
  • A money order for $20 payable to the Texas State Board of Pharmacy.
  • Change of Address Form

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For further information, contact the Pharmacist Licensing Division at 512/305-8000.