- (a) The applicant for licensure shall complete and submit the board provided form Ph A-5, revised 09/16.
- (b) Applicants shall also submit 2 photographs of the existing exterior of the facility in which the applicant is located. These photographs shall include any outside signage. Artist sketches or architect plans or drawings shall not be acceptable.
- (c) Applicants shall also submit at least 4 photographs of the interior of the facility showing legend drug storage areas, refrigeration units and any specially constructed areas for storage of controlled substances.
- (d) In-state applicants shall also submit a scaled floor plan of the proposed facility.
- (e) Applicants shall supply a list of all states where licensed and include license number.
Source. #8447, INTERIM, eff 10-14-05, EXPIRED: 4-12-06 New. #8708, eff 8-23-06, EXPIRED: 8-23-14 New. #12007, eff 10-22-16 (formerly Ph 309.03)