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(a) An applicant for a facility license shall submit
(1) the fees required in 12 AAC 02.310;
(2) a completed application on a form provided by the department;
(3) Within 14 days after commencement of business, a completed self-inspection of the premises questionnaire on a form provided by the department; and
(4) the name of the pharmacy or pharmacist that will provide consultant pharmacist services as required in AS 08.80.390 , if applicable.
(b) The board will determine which category of facility license listed in 12 AAC 52.010(b) is issued to an applicant based on the information provided on the application form.
(c) An application for a remote or other pharmacy license must include the name of the pharmacist designated to be the pharmacist-in-charge as required in AS 08.80.330 and 12 AAC 52.200.
(d) An application for a pharmacy license must include the name and specific location of each remote pharmacy that will be under that pharmacy's control.
(e) An application for a remote pharmacy license must include the name and, if it has been issued, the license number of the pharmacy that is the central pharmacy.
History: Eff. 1/16/98, Register 145; am 2/26/2000, Register 153; am 2/11/2004, Register 169; am 2/15/2006, Register 177
Authority: AS 08.80.005
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Last modified 7/05/2006