New Hampshire Code of Administrative Rules
Ph - N.H. Pharmacy Board
Chapter Ph 1600 - PHARMACY INTERNS
Part Ph 1604 - REGISTRATION
Section Ph 1604.01 - Application
Universal Citation: NH Admin Rules Ph 1604.01
Current through Register No. 12, March 21, 2024
(a) No person shall perform the functions or duties of a pharmacy intern unless such person is registered by the board.
(b) Application form "Pharmacy Intern Initial Registration Form" for registration of pharmacy interns in New Hampshire may be obtained from and shall be filed at the office of the board, identified in Ph 103.03.
(c) Each applicant shall provide the following on form PI-1:
(1) Name, gender,
current mailing address, and home telephone number;
(2) Social security number, date of birth,
and email address;
(3) Name and
address of the college or university where currently enrolled in, or graduated
from, the pharmacy program;
(4)
Anticipated date of graduation from accredited pharmacy program;
(5) Record of convictions of violations of
federal, state, or local drug or pharmacy- related laws or
regulations;
(6) An indication as
to whether the applicant is or ever has been registered or licensed as a
pharmacy intern in New Hampshire or any other state and, if so, an indication
as to which state(s) and whether such registration or license is currently
valid;
(7) An indication as to
whether the applicant has ever voluntarily surrendered his or her pharmacy
intern registration in this or any other state or jurisdiction and, if so, an
explanation of such surrender; and
(8) Applicant's signature and date.
(d) The applicant shall submit with application form PI-1, the prescribed fee of $25.
(e) An applicant for registration as a registered pharmacy intern shall meet the following requirements:
(1) Be at least 18 years of age;
(2) Be enrolled in or possess a pharmacy
degree from an accredited college or university pharmacy program;
(3) Be of good moral character, as
demonstrated by the information provided by the applicant on the registration
form and any attachments; and
(4)
Has not been convicted of a felony or a misdemeanor resulting from a violation
of any federal, state, or local drug or pharmacy-related law, rule, or
regulation.
Disclaimer: These regulations may not be the most recent version. New Hampshire may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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