Create Online Account

Please enter the following information to set up your online login account. All fields are required.

Login Information

Please enter a user password below. This will be required to access your information on this website. The password must be at least 8 characters long and contain at least one of each of the following: one alphabetical character, one capitalized alphabetical character, one number, and one unique character (ex. *, #, !). Please make a note of your password as you will need it to login.

Pharmacy License Number:
Social Security Number:
Re-enter Password:

On click of Save you will be directed back to the Login Page.

Click Back to exit or cancel. By clicking Back your information will not be saved.

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State Board of Pharmacy