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Contact Info

State Board Of Pharmacy
Mary K. Walker, Executive Director
1712 Carey Avenue, Ste 200
Cheyenne, WY 82002
Email: bop@wyo.gov

Phone: (307) 634-9636
Fax: (307) 634-6335
Applications
Pharmacists:

Please email the Board office at bop@wyo.gov and request an application to be mailed to you.
Please provide a mailing address.
Pharmacist Renewal Form

Immunizations, Pharmacist Application to Prescribe and Administer:
Pharmacist Application to Prescribe and Administer Immunizations
RPh Immunization Renewal Form

Preceptor Pharmacists:
Preceptor Application
Intern Evaluation Report
Preceptor Renewal Application


Pharmacy Interns:

Please email the Board office at bop@wyo.gov and request an application to be mailed to you.
Please provide a mailing address.

Intern Renewal Form
Affidavit for Practical Experience
Preceptor Evaluation Report
Intern Application to Administer Immunizations
Interns Immunization Renewal Form


Pharmacy Technicians:

Please email the Board office at bop@wyo.gov and request an application to be mailed to you.
Please provide a mailing address.

Technician Renewal Form

Pharmacy Technicians-in-Training:

Please email the Board office at bop@wyo.gov and request an application to be mailed to you.
Please provide a mailing address.

Pharmacy Sponsor Transfer Form

Controlled Substance Registration:

Controlled Substance Practitioner Application
Bi-Annual Controlled Substance Renewal

Pharmacies:

Non-Resident Retail Application
Non-Resident Pharmacy Renewal
Resident Retail Application
Resident Retail Renewal Application

Wholesale Distributor for Prescription Drugs for Human Use:

Email the Board office at bop@wyo.gov and request an application packet to be mailed to the applicant. Please provide a mailing address. The applications cannot be emailed as the packets contain materials for a criminal background check for the Designated Representative.

Wholesale Distributor of Medical Oxygen:

Email the Board office at bop@wyo.gov and request an application packet to be mailed to the applicant. Please provide a mailing address. The applications cannot be emailed as the packets contain materials for a criminal background check for the Designated Representative.

Wholesale Distributor for Prescription Drugs for Non-Human (Veterinary) Use Only

Application
Renewal Application

Methamphetamine Precursor Manufacturer, Distributor or Retailer Registration:

Application for Registration as a Manufacturer, Distributor, or Retailer of Methamphetamine Precursor Drugs
Renewal Application for Methamphetamine Precursor Manufacturer, Distributor or Retailer