Nominations may be submitted online by completing the form below and clicking the submit button.
Direct inquiries or mail, fax or email completed forms to:
Mitchel C. Rothholz, RPh, MBA
c/o American Pharmacists Association
1100 15th Street NW, Suite 400
Washington, DC 20005-1707
1-800-237-APhA (2742) ext 7549 Direct: 202-429-7549 FAX: 202-638-3793
email: mrothholz@aphanet.org