- Skip Navigation

Note: This message is displayed if (1) your browser is not standards-compliant or (2) you have you disabled CSS. Read our Policies for more information.

Indiana Professional Licensing Agency

PLA > Professions > INDIANA BOARD OF PHARMACY > Pharmacy Board Renewal Forms Pharmacy Board Renewal Forms

To renew your license by paper you must select a form below.  Print and mail the completed form with the required renewal fee to the Indiana Professional Licensing Agency.  The address is on the form and checks should be made out to 'Indiana Professional Licensing Agency'.   

Home Medical Equipment Provider Renewal Form

Pharmacy Renewal Form

Non Resident Pharmacy Renewal Form

CSR Facility Renewal Form

Pharmacy Intern Renewal Form

Pharmacist Renewal Form

Pharmacy Technician Renewal Form

Wholesale Drug Distributor Renewal Form