Renewal applications shall be filed with the board in accordance with the following:

1. (a) Applications for renewal of pharmacy intern registration shall be made online at https://nhlicenses.nh.gov/eGov/Login.aspx.

2. (b) Each applicant shall provide the following information online as part of his or her renewal:

   1. (1) Original registration number;
   2. (2) Name, current mailing address, and home telephone number;
   3. (3) Social security number, date of birth, and email address;
   4. (4) Name and address of the college or university where currently enrolled in, or graduated from, the pharmacy program;
   5. (6) Record of convictions of violations of federal, state, or local drug or pharmacy-related laws or regulations;
   6. (7) Applicant’s signature and date; and
   7. (8) Employment name, address, phone number, and the name of the supervisor and pharmacist-in-charge;
3. (c) The application and the prescribed fee of $25 shall be filed with the board no later than September 30.

Source. #10721, eff 11-22-14; ss by #12670, eff 11-17-18