Third Party Logistics Provider - Initial Licensure

An applicant must satisfy all of the following requirements:

• Submit a completed application form.

• Pay the fee.

• Submit all required information relating to a designated representative.

• Fulfill the inspection requirement.

  • Each facility used by the applicant for third-party logistics provider services has been inspected in the 3-year period immediately preceding the date of the application by the board, a pharmacy examining board of another state, the National Association of Boards of Pharmacy, or another accrediting body recognized by the board, with the date of each such inspection

If operations are conducted at more than one facility, a person acting as a 3rd-party logistics provider or out-of-state 3rd-party logistics provider may apply to obtain a license from the board for each facility.

• Create or log into your LicensE account.

• Complete each of the following forms:

  • Form 7160 - Third Party Logistics Provider License Application

  • Form 7161 - Third Party Logistics Provider Designated Representative Form

  • Form 2687 - Authorization for Release of FBI Information

  • Form 3071 - DSPS Payment Form

• Submit the completed forms with any additional documentation to dspscredpharmacy@wisconsin.gov. List 3PL or Third-Party Logistics as the subject line of the email.

• After emailing the forms, log into your LicensE account and click "Request Support". Include 3PL Application in the subject line.

• After the credentialing team receives a completed Form 2687, they will email fingerprinting instructions. After completing the fingerprinting, log into your LicensE account and submit a support ticket with the Subject "3PL-Fingerprinting Completed". Include the name of the individual, the TCN number and the date the fingerprints were completed.

• The credentialing team will review the applications and documents and reach out via email. If you have additional questions, please log into your LicensE account and submit a support ticket.

Support Ticket
Submit a support ticket on LicensE and click "request support." Please provide as much detail as possible regarding your concern so we can work to answer your question with a one touch resolution. 

Call
608-266-2112

Email
dsps@wisconsin.gov

Office Hours
7:45am-4:30pm
Department of Safety and Professional Services
4822 Madison Yards Way
Madison, WI, 53705

Note: The in-person office does not process same day.