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Form 4876-A Indianapolis Indiana: What You Should Know

Be obtained within three calendar years from the date of appointment or graduation from the Pharmacist  Intern.  Pharmacist intern must obtain the practical experience time within three calendar year  period immediately prior to his or her appointment or graduation from the Pharmacist Intern's training period. 3. The time period may be waived if the applicant is the holder of an active certification 4. The number of years of experience required by the practitioner will include any hours required for training by  the service center, and/or internship (intern hours) by the applicant, or any additional training  hours that have been obtained through the training program. When practical experience is required for the  training period, it must be obtained before the time limit has expired and the practical experience must  be acquired prior to the date of commencement of the Pharmacist Intern training program. 5. When practical  experience is being completed, the applicant's supervisor shall complete a statement noting it in  the records the pharmacist received during the training.  6. The number of months and years of experience  to be required of the practice of pharmacy intern or practice of pharmacy technologist by the  practitioner will include any hours required for training by the service center, and/or internship  by the applicant, or any additional training hours that have been obtained through the training program. When  practical experience is required for the training period, it must be obtained prior to the time limit  has expired and the practicum or internship must be acquired prior to the date of  completion of the Pharmacist Intern training program. 7. The Practitioner will provide the  applicant with the Practitioner Intern Training Program. The application for these  programs will be accepted from all eligible applicants. 8. The Practitioner is responsible for  reviewing each application to the extent feasible and making any inquiries necessary. INSTRUCTIONS: 1. Applicants must have held an active certification in pharmacy  for the three (3) years immediately preceding the start of the interning program. 2. Applicants must  have completed a minimum of 30 supervised practicum hours with a licensed pharmacist  and an additional of 20 supervised practice hours with a pharmacist in the period immediately preceding  the intern training program. 3. The Practitioner must have the right to review an  application on a quarterly basis. 4.

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