Code of Maine Rules › 02 - DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION › 392 - MAINE BOARD OF PHARMACY › Part 5 - LICENSE DENIAL AND PROFESSIONAL DISCIPLINE › Chapter 38 - LICENSURE OF CLOSED-SHOP PHARMACIES › Section 392-5-38-3 - Licensure

Current through 2024-29, July 17, 2024
1.
Application; Fees
An application for licensure as a closed-shop pharmacy must
					 be filed on forms provided by the board. The application must be accompanied by
					 the application and license fees required by Chapter 10, Section
					 5(27) of the rules
					 of the Department of Professional and Financial Regulation, Office of
					 Professional and Occupational Regulation, entitled "Establishment of License
					 Fees." Incomplete applications will not be accepted and will be returned to the
					 applicant. The applicant shall provide the following information:
A. The name, address, telephone number and
				  email address of the person responsible for submission of the
				  application;
B. The name, physical
				  address, contact address, telephone number, email address and world wide web
				  address of the closed-shop pharmacy;
C. All trade or business names used or to be
				  used by the closed-shop pharmacy;
D. The names of the owner of the closed-shop
				  pharmacy, including:
(1) If a partnership,
				  the name, contact address, telephone number and employer identification number
				  of the partnership, and the name and contact address of each partner;
(2) If a business corporation, the name,
				  contact address, telephone number and employer identification number of the
				  corporation; the name of the parent company, if any; the name, contact address
				  and title of each corporate officer and director; the name and contact address
				  of each shareholder owning 10% or more of the voting stock of the corporation,
				  including over-the-counter stock, unless the company is traded on a major stock
				  exchange and not over-the-counter; a certificate of existence from the
				  corporation's state of organization and, for corporations not organized under
				  Maine law, a certificate of authority from the Maine Secretary of
				  State;
(3) If a nonprofit
				  corporation, the name, contact address, telephone number and employer
				  identification number of the corporation; the name of the parent company, if
				  any; the name, contact address and title of each corporate officer and
				  director; the name and contact address of each voting member; a certificate of
				  existence from the corporation's state of organization and, for corporations
				  not organized under Maine law, a certificate of authority from the Maine
				  Secretary of State;
(4) If a
				  limited liability company, the name, contact address, employer identification
				  number, telephone number, fax number and email address of the limited liability
				  company; the names and mailing addresses of each member and manager; a
				  certificate of existence from the Maine Secretary of State or, for limited
				  liability companies not organized under Maine law, a certificate of authority
				  or certificate of qualification from the Maine Secretary of State; and the name
				  of the member or manager who will be representing the applicant in matters
				  before the board.
(5) If a sole
				  proprietorship, the name, contact address, telephone number and social security
				  number of the sole proprietor and the name of the business entity;
E. A scaled drawing and floor plan
				  of the closed-shop pharmacy which details the usage of each area;
F. The name and license number of the
				  pharmacist in charge of the closed-shop pharmacy;
G. Verification of the following facilities,
				  apparatus and equipment: 
				  
												 Adequate lighting
												Sink with hot and cold running water
												Rest room facilities
												Refrigerator
												Rx weights (if required by type of Rx balance
						used)
												Rx balance
												Spatula, non-metal (1)
												Spatula, metal (2)
												Mortar and pestle (2)
												Graduates assorted (4)
												Safety cap Rx containers, if applicable
												Appropriate Rx labels
												Professional reference library, including drug
						interactions (in any format)
												Current Maine pharmacy laws and rules (in any
						format);
H.
				  Demonstration of compliance with the alarm and security camera requirements of
				  Sections
				  6 and
				  7 of this chapter;
I. Upon request of the board, all plumbing
				  permits, electrical permits, certificates of occupancy and other documents
				  necessary to show full compliance with all federal, state and local laws and
				  rules; and
J. Such other
				  information as the board may require.