Application For A Sterile Compounding Pharmacy License {17A-48}

17A-48, STERILE COMPOUNDING PHARMACY LICENSE APPLICATION, This application must be approved by the California State Board of Pharmacy before a sterile compounding pharmacy license will be issued. If changes are made during the application process, the applicant may need to submit a new application with appropriate fees. Any application not completed within 60 days after being notified by the Board of deficiencies may be deemed to have been abandoned, and the applicant will be required to file a new application and meet all the requirements that are in effect at the time of application. Fees applied to this instant application are not transferable or refundable. Failure to provide any of the requested information may result in the application being considered incomplete. Any material misrepresentation in the answer of any question is grounds for denial or subsequent revocation of the license and is a violation of the California Penal Code. The information will be used to determine qualifications for licensure under the California Pharmacy Law. www.FormsWorkflow.com