Tenn. Comp. R. & Regs. 1140-16-.03 - MINIMUM INFORMATION REQUIRED
(1) The Board shall
require the following minimum information from an applicant applying for a
license to operate as a 3PL or any renewal of such license:
(a) All trade or business names used by the
3PL (includes "is doing business as" and "formerly known as"), full business
address, and telephone number of the 3PL;
(b) Addresses, telephone numbers, and the
names of contact persons for all facilities used by the 3PL for storage,
handling, and distribution;
(c) The
name and contact information of the owner, the owner's agent, or another such
individual employed at or contracted by the applicant who can be reached at any
time by the Board, the Department of Health or any agents thereof in the event
of a potential or actual public health threat related to the sterility or
potency of any drug or biologic product manufactured, wholesaled or distributed
by the applicant;
(d) A list of all
state and federal licenses, registrations, or permits, including the number of
each such license, registration, or permit issued to the 3PL by any other state
and federal authority authorizing the 3PL to possess and/or distribute
prescription drugs, and including any disciplinary action taken against the 3PL
and/or its principals, owners, directors, or officers;
(e) The type of ownership or operation (i.e.,
partnership, corporation, or sole proprietorship); and;
(f) The name(s) of the owner and operator of
the 3PL, including:
1. If a person, the name
of the person;
2. If a partnership,
the name of each partner, and the name of the partnership;
3. If a corporation, the name and title of
each corporate officer and director, the corporate names, and the name of the
state of incorporation;
4. If a
sole proprietorship, the full name of the sole proprietor and the name of the
business entity;
5. United States
Drug Enforcement Administration (DEA) registration number if applicable;
and
6. The results of a criminal
background check for the owner and manager of the 3PL seeking licensure,
submitted directly to the Board by the vendor identified in the Board's
licensure application materials.
(2) Changes in any information in paragraphs
(1)(a) through (f) of this rule shall be submitted in writing to the Board
within one business day of the change.
Notes
Authority: T.C.A. ยงยง 63-10-204, 63-10-304, and 63-10-306.
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