Update Contact Information

1. Visit the Online Portal and login to your account
2. Update address/email information as needed.
3. Click “continue” until you reach the attestation page.
4. To save change, you must attest the information is true and correct.

1. Complete the Individual/Person Legal Name Change Request form. If there are any incomplete fields the request will not be processed.
2. Save the form in a PDF format in a place where it can easily be retrieved to attach to an email.
3. Email a copy of the completed form & required documents indicated below to bop-info@dopl.idaho.gov

Subject line of the email should include the following;

• Legal Name Change
• Name of the Licensee/Registrant
• Idaho License/Registration Number

Required Documents – Attach to the email;

1. Legal document allowing the name change;

• Divorce decree
• Marriage certificate
• Court document granting name change

2. Current government issued photo ID with new legal name indicated

• Driver’s License
• Passport

Changes to a Registrations/Licenses Physical Address require an Address Change application to be submitted to the Board of Pharmacy a minimum of at least ten (10) days prior to the event. Changes to the Registrations/Licenses Ownership requires an Ownership Change application to be submitted to the Board of Pharmacy a minimum of thirty (30) days of the event.

1. Acquire the documents listed above for a new Registration/License
2. Log into our online licensing portal using the credentials for your current license/registration.
3. Click on ‘Initial Application’ and choose the ‘Change of Address’ or ‘Change of Ownership’ Obtained by method after choosing ‘Pharmacy’ and your desired license/registration type.
4. Follow the onscreen prompts to complete the application.

Facility Name Changes

Board Policy requires submission of this application to the Board of Pharmacy within thirty (30) days of the change date.

Name Change Application Instructions:

1. Complete the Facility Name Change Form.
2. Send the completed form attached to an email to BOP-info@dopl.idaho.gov with the subject line of the email to include the name of the facility and the License Registration number.

Important Note: Facility Name changes that resulted from a change in ownership must also submit an online Change of Ownership application via the e-Gov account for the existing Idaho licensed Facility.

Board Policy requires submission of this application to the Board of Pharmacy within thirty (30) days of the change date.

Name Change Application Instructions:

1. Complete the Facility Name Change Form.
2. Acquire the following documentation. NOTE all new documentation must contain the new name.
   • Resident State License
   • Federal DEA Registration
   • Copy of Prescription Label – Out of State Mail Service Pharmacy only
3. Login using your facilities credentials to our Online Portal and complete the License Update process for your License/Registration.
   • Select ‘License Update’ from the menu
   • Select the applicable facility License/Registration
   • Proceed through the prompts to reach the ‘Attach Documents’ page.
   • Upload the completed Name Change form and additional documentation.
   • Submit the License Update.
4. Send an email to BOP-info@dopl.idaho.gov. The subject line of the email should include the name of the facility and the License Registration number.

To change a practice address on your Idaho Controlled Substance Registration within the state of Idaho, first complete that change with the DEA, then email a copy of the updated DEA to bop-info@dopl.idaho.gov, and we will update the CSR record.  CSR registrants are not able to update the practice address themselves in their e-Government accounts.

To update the employee roster.

1. Go to Login (e-gov.com)
2. Log into the facility account that needs updated.
3. Click on “update license.”
4. Update employee roster and save changes.