Ariz. Admin. Code § R4-25-602 - Registration Requirements
An individual currently licensed as a podiatrist in this state who wishes to dispense drugs and devices shall register with the Board by submitting all of the following:
1.
The podiatrist's current Drug Enforcement Administration Certificate of
Registration issued by the Department of Justice under
21 U.S.C.
801 et seq.;
2. The fee required in R4-25-103;
and
3. An application form provided
by the Board, signed and dated by the podiatrist, that contains questions
approved by the Board.
a. The podiatrist's
name,
b. The address of each location
where the podiatrist intends to dispense drugs and devices, and
c. The types of drugs and devices
the podiatrist intends to dispense.
Notes
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