Change of Address, Employment, or Name


Change of Address & Employment

Pharmacists and Pharmacy Technicians - Click here for further instructions on how to update your address and/or employment.


Change of Name

Pharmacists - Click here for a downloadable name change request form (PDF)

Pharmacy Technicians - Click here for a downloadable name change request form (PDF)

Pharmacist Student Interns - Click here for a downloadable name change request form (PDF)