I was born and raised in Canada, and completed high school in Canada but I received my pharmacy degree in the United Kingdom. Do I still have to complete an English Language Proficiency (ELP) assessment?

Yes.  According to the ELP standards set by the National Association of Pharmacy Regulatory Authorities (NAPRA), if you obtained your pharmacy degree outside of Canada or the USA, you are required to complete an English Language Proficiency assessment, regardless of your previous secondary or post-secondary education, work experience, or official language of the country where you obtained your pharmacy degree. Please refer to the Registration Committee Policy-1 on the College website.