Drug Registration > Registration Change Requests

• Registration Changes
  Use for the following Registration Changes:

  • Name Changes 

  • Address Changes 
    Do not submit this until you have an approved state license for the new address. Please note that these changes will become effective immediately upon DEA approval.

  • Schedule Changes 

  • Drug Code Changes 
     

• Online Pharmacy Modifications 

  • Modify business activity from Retail Pharmacy to Retail Online Pharmacy

  • Modify business activity from Retail Online Pharmacy to Retail Pharmacy

  • Modify existing Retail Online Pharmacy Information
     

• Duplicate Certificates 
  (This form is not for change of address or matters pertaining to the renewal of your registration. For these matters call 1-800-882-9539; for change of address, use the Address Changes Form.)
   

• Order Forms (DEA Form 222)