1. (a) To qualify for a pharmacy license, the applicant must submit an application including the following information:

   1. (1) name and address of pharmacy;
   2. (2) type of ownership;
   3. (3) names, home addresses, dates of birth, phone numbers, and social security numbers of all owners; if a partnership or corporation, the name, title, home address, home phone number, date of birth, and social security number of all managing officers;
   4. (4) name and license number of the pharmacist-in-charge and of other pharmacists employed by the pharmacy;
   5. (5) anticipated date of opening;
   6. (6) copy of lease agreement or alternatively, a notarized statement signed by the lessee and lessor certifying the existence of a lease agreement, or if the location of the pharmacy is owned by the applicant, a notarized statement certifying such location ownership;
   7. (7) the signature of the pharmacist-in-charge;
   8. (8) the notarized signature of the owner, or if the pharmacy is owned by a partnership or corporation, the notarized signature of an executive officer; and
   9. (9) any other information requested on the application.
2. (b) A fee as specified in §291.6 of this title (relating to Pharmacy License Fees) will be charged for the issuance of a pharmacy license.
3. (c) For purpose of this subsection, managing officers are defined as the top four executive officers, including the corporate officer in charge of pharmacy operations, who are designated by the partnership or corporation to be jointly responsible for the legal operation of the pharmacy.

Source Note:The provisions of this §291.1 adopted to be effective June 17, 1986, 11 TexReg 2552; amended to be effective July 29, 1987, 12 TexReg 2337.