Application for Licensure as a Pharmacist Intern

Applications must be mailed to the Board office. Faxed or emailed applications are not accepted.  Incomplete applications will be returned to the applicant. Application fees may be paid in the form of a check, cashier’s check or money order made payable to the Wyoming State Board of Pharmacy. 

All applicants for licensure as a pharmacist intern must provide the Board with fingerprints and other information required to obtain a criminal history record. Fingerprint Submission Card Instructions are included in the application packet. Applicants must follow the instructions and return (2) completed fingerprint cards with their application to the Board office.

Additional Forms