Arkansas State Board of Pharmacy

Please Note

We are a service company that can help you file with the Arkansas State Board of Pharmacy. We are not associated with this nor any other government agency. We offer paid services and software to help you file. You are not required to purchase our service to file - you may file directly with this agency without using our service.

Contact Information

Physical address:
322 S Main St
Little Rock, AR 72201

Phone: (501) 682-0190
Fax: (501) 682-0195

Web: Home Name search Forms File online
Email: John.Kirtley@arkansas.gov

Licenses

We track the following licenses with the Arkansas State Board of Pharmacy in order to provide compliance services to our clients. As a client, you see this and other Compliance Core™ data in License Manager in-line with your licenses.

A laptop placed on a desk with our License Manager software on display

Arkansas Charitable Clinic Permit

Agency:

Arkansas State Board of Pharmacy

Filing Method:	Online
Agency Fee:	$0
Due:	By December 31 of even-numbered years.

Form:	Application for a Permit to Operate as an Arkansas Hospital Pharmacy or Outpatient Surgery Center
Agency Fee:	$450 if applying in an odd-numbered year, $300 if applying in an even-numbered year

Agency Fee:	$35
Notes:	Email the board at asbp@arkansas.gov to request an application.

Form:	Nursing Home Consultant Pharmacist Application
Agency Fee:	$35 if applying in odd-numbered years, $70 if applying in even-numbered years

Agency:	Arkansas State Board of Pharmacy
Registered Agent (Special Agency) Required?	Yes

Form:	Retail Pharmacy Application - Out of State
Filing Method:	Mail
Agency Fee:	$300 if submitted during an odd-numbered year $450 if submitted during an even-numbered year.
Required Attachments:	A copy of the pharmacy license/permit issued by the state in which the pharmacy is located A copy of the latest inspection report for the pharmacy issued by the regulatory agency that performs such inspections in the state in which the pharmacy is located. The report cannot be less than six months or more than 14 months old. Copy of your DEA permit, if you ship controlled substances Copy of your certificate of proof of registered agent in Arkansas.

Form:	License by Exam
Agency Fee:	$25 exam fee + $75 license fee

Form:	Application for Pharmacy Intern Licensure
Agency Fee:	$81.25: Application fee $45, Statewide Background Check Fee $22, National Background Check $14.25

Form:	Retail Pharmacy Application - In State
Agency Fee:	$300 if submitted during an odd-numbered year or $450 if submitted during an even-numbered year.

Form:	Supplier of Medical Equipment, Legend Devices, and Medical Gas (DME license) Application
Agency Fee:	$375 if submitted during an odd-numbered year or $250 if submitted during an even-numbered year.
Required Attachments:	If the applicant is not an Arkansas business, a copy of the license/permit issued by the state in which the applicant is located. If you do not have a license in your home state, provide a statement from your State Board of Pharmacy stating that you are not required to be licensed If the applicant is not located in Arkansas, a copy of the latest inspection report of the facility issued by the regulatory agency that performs such inspections in the state in which the business is located. If the facility has never been inspected, a statement from the applicant stating that the facility has never been inspected Copies of all federal licenses or permits A certificate of insurance for this facility issued by your insurance agent, showing your product liability insurance, or general liability insurance if you do not carry product liability insurance. Do not send a copy of the policy- just the certificate of insurance A description of the products that the applicant will sell to patients in Arkansas A description of the patient populations the company will serve A general description of the products and operations of the applicant related to the wholesale distribution of legend drugs The names, addresses and percentage ownership of all of the owners the entity, if a corporation The names, addresses and percentage ownership of all partners/members, if a partnership The titles and names of the officers or directors of the company

Form:	Wholesale Distributor of List I Chemicals Application
Agency Fee:	$450 if submitted during an odd-numbered year or $300 if submitted during an even-numbered year.

Form:	Wholesale Distributor of Legend Drugs Application
Agency Fee:	$450 if submitted during an odd-numbered year or $300 if submitted during an even-numbered year.

Arkansas State Board of Pharmacy

Please Note

Contact Information

Licenses

Arkansas Charitable Clinic Permit

Initial Registration

Registration Renewal

Arkansas Hospital Pharmacy Permit

Initial Registration

Registration Renewal

Arkansas Institutional Pharmacy Permit

Initial Registration

Registration Renewal

Arkansas Nursing Home Consultant Pharmacist License

Initial Registration

Arkansas Out-of-State Retail Pharmacy Permit

Initial Registration

Registration Renewal

Arkansas Pharmacist License

Initial Registration

Registration Renewal

Arkansas Pharmacy Intern License

Initial Registration

Arkansas Pharmacy Technician Registration

Initial Registration

Registration Renewal

Arkansas Retail Pharmacy Permit

Initial Registration

Registration Renewal

Arkansas Supplier of Medical Equipment License

Initial Registration

Registration Renewal

Arkansas Wholesale Distributor of List I Chemicals Permit

Initial Registration

Registration Renewal

Arkansas Wholesale Distributor Permit

Initial Registration

Registration Renewal

Related Government Agencies