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