Ohio Administrative Code › Title 4729:6 - Distribution of Dangerous Drugs › Chapter 4729:6-2 - Licensure › Section 4729:6-2-04 - Drug distributor applications

All regulations passed and filed through January 1,
			 2024
(A) The following
			 information shall be required on a form supplied by the state board of pharmacy
			 from each person making application for a license as a distributor of dangerous
			 drugs:
(1) The name, full physical business
			 address (not a post office box), and telephone number.
(2) All trade, fictitious, or business names
			 used by the licensee (e.g. "doing business as" or "formerly known as").
(3) Addresses, telephone numbers, and the
			 full names of contact persons for all facilities used by the licensee for the
			 storage, handling, and distribution of dangerous drugs located in this state or
			 used to distribute drugs into this state.
(4) The type of ownership or operation (i.e.,
			 sole proprietorship, partnership, limited liability
			 company, corporation,  government
			 agency, or nonprofit organization).
(5) The following information for the
			 owner(s) and/or operator(s) of the drug distributor:
(a) For a partnership:
(i) The full name, business address, social
			 security number, and date of birth of each partner. If the partner is not a
			 natural person, each business entity that is a partner having an ownership
			 interest must be disclosed on the application up to and through the entity that
			 is owned by a natural person.
(ii)
			 The name of the partnership.
(iii)
			 The partnership's federal employer identification number.
(b)
										For a sole
			 proprietorship: the full name, business address, social security number, and
			 date of birth of the sole proprietor.
(c)
										For a limited
			 lability company: the full name, business address, social security number, and
			 date of birth of each member. If the member(s) is not a natural person, each
			 business entity that is a member having an ownership interest must be disclosed
			 on the application up to and through the entity that is owned by a natural
			 person.
(d) For a corporation:
(i) The full name, business address, social
			 security number, and date of birth of the
			 corporation's president, vice-president, secretary, treasurer, and chief executive officer, or any equivalent
			 position. For a publicly traded corporation that obtains a criminal records
			 check waiver pursuant to paragraph (A)(3) of rule
			 4729:6-2-03 of the
			 Administrative Code, the full name, business address, social security
			 number, and date of birth of the corporate
			 officers subject to a criminal records check as determined by the
			 
											board's executive director or
			 
											director's designee.
(ii) The name or names of the
			 corporation.
(iii) The state of
			 incorporation.
(iv) The
			 corporation's federal employer identification number.
(v) The name of the parent company, if
			 applicable.
(vi) If the corporation
			 is not publicly traded on a major stock exchange, the full name, business
			 address, and social security number of each shareholder owning ten percent or
			 more of the voting stock of the corporation.
(e) For a government
			 agency: the full name, business address, social security number, and date of
			 birth of the agency director.
(f)
										For a nonprofit organization: the full name, business
			 address, social security number, and date of birth of the executive director or
			 any equivalent position.
(6) If the entity submitting an application
			 for a distributor of dangerous drugs license is located outside the boundaries
			 of the state of Ohio, the licensing process shall include an inquiry to the
			 licensing authority of the state 
									where located to determine
			 if the entity possesses a current and valid license or
			 registration to distribute dangerous drugs in that state
			  and any disciplinary
			 action, including actions pending, the licensing authority is taking or may
			 have taken against the entity. This information may be used to determine if the
			 business entity should be granted a license by the state board of pharmacy. An
			 entity located outside the boundaries of the state of Ohio that is making
			 application for licensure as a third-party logistics provider or virtual
			 wholesaler shall maintain an applicable
									 accreditation from the national association of boards of
			 pharmacy if the state where the entity resides does not license such
			 entities.
(7) If applicable, proof
			 of the entity's valid registration with the United States
			 food and drug administration and/or the United States drug enforcement
			 administration.
(8) Any information
			 required on the application as determined by the board.
(9) Any follow-up information as deemed
			 necessary by the board's executive director or the director's designee upon
			 receipt of the application materials.