Pharmacy Support Person (PSP) Initial Application

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Waiver of Fee -- Determination of Eligibility

Pharmacy Support Person (PSP)

Iowa Regulations

Required Documents

Military or Veteran Status

Prior Iowa Board of Pharmacy Licensure or Registration

Personal Information

Home/Permanent Address

Mailing Address

PSP Contact Information

Current Employment

Other State Professional Licenses or Registrations

Criminal History

Disciplinary Actions/History

License/Registration Denials

Pending Investigations

Required Document(s)


Confirm and Submit


Physical and Mailing Address: 6200 Park Avenue, Suite 100, Des Moines, IA 50321-1270. (P): (515) 281-5944 (F): (515) 281-4609