Pharmacy Stars Shining Star Compounding Pharmacy Technician
Nominee Information
Nominee Name
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First Name
Last Name
Is the nominee a pharmacy technician focused in compounding?
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Yes
No
Please list the nominee credentials or any additional training (ie: CSPT or ASHP certification):
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How many years has the nominee been a member of OSHP? (if not a member please state 0):
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Please describe the nominee’s contributions to pharmacy operations or leadership roles within the past 3yr:
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Please describe the nominee’s contributions to health system pharmacy within the past 3yr:
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Please describe the nominee’s contributions to medication/patient safety within the past 3yr:
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Please describe any additional significant work that the nominee has participated in within the past 3yr:
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Please upload the nominee’s CV and letter(s) of support:
*
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