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Kentucky Board of Pharmacy Kentucky Board of Pharmacy Kentucky Board of Pharmacy

Pharmacist Intern Information

Pursuant to 201 KAR 2:040, Section 2 - An applicant for registration as a pharmacist intern shall register with the Board.

Application and Forms

Form I - Pharmacist Intern Application [PDF - 45KB] Once you have completed this application, please print, date and sign then submit to the Board office along with a passport sized photo, letter of acceptance into a college of pharmacy [a copy of your FPGEC certificate for foreign graduates] and payment.

Form II - Pharmacist Preceptor Affidavit [PDF - 46KB]must be submitted within ten (10) days from the beginning of internship. Preceptor Affidavit must be resubmitted in within ten (10) days if there is a change in preceptor.

Form III - Pharmacist Internship Report [PDF - 30KB]

Form IV - Academic Experience Affidavit

Initial Pharmacist Licensure information [PDF - 66KB]

Pharmacist Licensure Application [PDF - 103KB]

Address/Employment Changes

All pharmacist interns are required to notify the Board of any changes in address within 30 days of moving. Address changes may be made electronically. Use the ‘Contact Us’ option to submit your address, employment or email changes to the Board.  Please provide your license number with your information. 
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Kentucky Pharmacy Lawbook

The Kentucky Board of Pharmacy Lawbook is only available in electronic format.  This file may be printed  or viewed online.  Each statute, regulation or reference can be easily found by clicking the preferred item in the index for each section. 

Kentucky Board of Pharmacy Lawbook


Duplicate License

In the event your license is either lost or destroyed, a duplicate license will be reissued. A $5.00 fee (made payable to Kentucky State Treasurer) must accompany a signed letter requesting the replacement. Please indicate your license number in all correspondence.


Download Adobe

Note: The following documents are in Adobe .PDF format. To view, download, or print these documents, you must have Adobe Acrobat Reader. Follow this link to download a free copy of the Abode Acrobat Reader. External Link - You are now leaving the .gov domain.


Last Updated 4/23/2014
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