1. (a) When a pharmacy changes ownership, a new/completed pharmacy application must be filed with the board and the licensed issued to previous owner shall be returned to the board.

2. (b) The new application shall include the following information:

   1. (1) the name and address of pharmacy;
   2. (2) the type of ownership;
   3. (3) the names and addresses of all owners; if a partnership or corporation, the name, title, and address of managing officers;
   4. (4) the name and license number of the pharmacist-in-charge and of other pharmacists employed by the pharmacy;
   5. (5) a 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;
   6. (6) a copy of the purchase contract or mutual agreement between the buyer and seller, or a notarized statement of intent to convey ownership signed by both the buyer and seller, stating the proposed date of ownership change;
   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.
3. (c) A fee as specified in §291.6 of this title (relating to Pharmacy License Fees) will be charged for issuance of a new license.

Source Note:The provisions of this §291.4 adopted to be effective June 17, 1986, 11 TexReg 2552; amended to be effective July 29, 1987, 12 TexReg 2337.