A Non-Resident Pharmacy is a pharmacy located in a state other than Wyoming that ships prescription drugs to patients in Wyoming. Any entity that ships prescription drugs into Wyoming must be licensed by the Wyoming State Board of Pharmacy.
Please complete the form and email or fax to the Wyoming State Board of Pharmacy within 30 days of the PIC change.
Change of Name or Address of a Non-Resident Pharmacy requires that you submit the change in writing to the Board of Pharmacy, accompanied by copies of the following documents:
- Copy of resident state license reflecting the change
- Copy of DEA certificate reflecting the change
- Copy of inspection report (for change of location)