Pharmacy Technician Continuing Education Credit Claim Form
Submit your details to claim continuing education credits as a pharmacy technician. Please complete all fields relevant to your credit claim.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Pharmacy Technician License/Registration Number
*
State of Licensure
*
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District of Columbia
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Texas
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Course Title
*
Course Provider
*
Date of Course Completion
*
-
Month
-
Day
Year
Date
Number of Credits Claimed
*
Upload Proof of Completion (Certificate or Transcript)
*
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