Arizona State Board of Pharmacy

Protects the health, safety and welfare of the citizens of Arizona

S015465 - Tai T. Pham

No.:

3 985

Type:

Pharmacist

License No.:

S015465

Name:

Tai T. Pham

Expiration:

Sunday, March 31, 2019

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LICENSING FEES
Licenses
Technician - PTCB or ExCPT Technician - Trainee Technician - Trainee Reapply Pharmacist - Exam/Score Transfer Pharmacist - Reciprocity Pharmacist - Renewal Intern	$82.00 $60.00 $36.00 $250.00 $500.00 $180.00 $60.00
Permits
Nonprescription Retailer - Category I Nonprescription Retailer - Category II Medical Gas - Supplier & DME Medical Gas - Distributor Pharmacy Manufacturer Wholesaler - Full Service Wholesaler - NonRx Third Party Logistics Provider (3PL)	$120.00 $200.00 $100.00 $200.00 $480.00 $1000.00 $1000.00 $500.00 $1000.00
Miscellaneous
Duplicate - license, permit or certificate Verification - license, permit or certificate	$10.00 $15.00