Changes to a Facility License
Pharmacy, Sterile Compounding Pharmacy, Nonresident Pharmacy, Nonresident Sterile Compounding Pharmacy Hospital Pharmacy, Clinic, Licensed Correctional Facility
A Change of Permit must be submitted to the board within 30 days when one of the following changes occurs:
Notes: A Change of Permit is not required when there is a change to board members. A separate Change of Permit application and fee must be submitted for each separate license. This includes a sterile compounding pharmacy attached to a license.
- Address Correction (this includes change of street name or number made by the United States Postal Service, government entity, suite number, etc) Does NOT include a change of location.
- Change of Tradestyle Name or Corporate Name (not a change of ownership)
- Change of Corporate Officers or Administrator
- Change of Professional Director (Clinic)
- Warden (Licensed Correctional Facility)
- Transfer of 10% to 49% of Ownership
Change of Permit Application (17A-12) Please allow four to six weeks for processing the application.
Change of Pharmacist-in-Charge or Consulting Pharmacist
Wholesaler, Third-Party Logistics Provider, Veterinary Food Animal Drug Retailer, Hypodermic Needle and Syringe
A Change of Permit must be submitted to the board within 30 days when one of the following changes occurs:
Note: A Change of Permit is not required when there is a change to board members. A separate Change of Permit application and fee must be submitted for each separate license.
- Address Correction (this includes change of street name or number made by the United States Postal Service, government entity, suite number, etc) Does NOT include a change of location.
- Change of Tradestyle Name or Corporate Name (not a change of ownership)
- Change of Corporate Officers
- Transfer of 10% to 49% of Ownership
Change of Permit Application (17A-52) Please allow four to six weeks for processing the application.
Change of Designated Representative-in-Charge or Responsible Manager
Contact Information
For Change of Permit E-mail: Chgpermit@dca.ca.gov
For Change of PIC/DRIC/RMG E-mail: Picstatus@dca.ca.gov