Massachusetts Healthcare and Pharmaceutical Licensing

Application for Registration to Manage and Operate a New Community Pharmacy

Mail to: 
MA Board of Registration in Pharmacy
239 Causeway Street, 5th floor
Boston, MA 02114

$525

• The pharmacist who is to managing and operating the pharmacy or pharmacy department must complete and sign the checklist and application form.
• A statement of the scheduled hours for the pharmacy or pharmacy department. This includes regular opening and closing times for each day of the week.
• A payment of the application fee, listed below.
• An application for a Massachusetts controlled substance registration.
• The application includes a fee, listed on the application.
• It must show both the prescription and patient consultation areas.
• The pharmacy department must be outlined in red.
• If the corporation is not publicly owned, list the:
  • Total amount and type of stock issued to each stockholder.
  • The names and addresses of said stockholder(s).
  • Signed affidavit
• You must sign the affidavit on the application and have it witnessed by a Notary Public.
• Any additional information as determined by the Board.

• If the corporation is incorporated in the Commonwealth
  • Submit a copy of the corporation's Articles of Organization, signed and sealed by the Secretary of State.
• If the corporation in incorporated is in another state
  • Submit a copy of the corporation's Foreign Corporation Certificate, signed and sealed by the Secretary of State pursuant to M.G.L. c.181, § 4.
• A statement of the name and address of each officer and director of the corporation and the position held.
• The d/b/a name of the business.
• An official blueprint or certified architectural plans drawn to scale.

Online

$525

By December 31 of odd-numbered years.

Application for MA Controlled Substance Registration

$225

$225

By December 31 of odd-numbered years.

Ambulance MCSR Application

$300

Ambulance MCSR Application (Renewal)

$300

Annually by the date of issuance.