Section R4-21-213. Registration of Nonresident Contact-lens Dis- penser; Renewal

A.       To register with the Board as a nonresident dispenser of replacement soft contact lenses, a person shall maintain a valid license to conduct the business of a pharmacist or pharmacy in the state in which the person is domiciled.

B.       To register with the Board, a nonresident contact-lens dis- penser that is qualified under subsection (A) shall submit to the Board:

1.        An application, using a form that is available from the Board, that provides the following information:

a.         Name of applicant,

b.        Social Security number,

c.         Date of applicant’s birth,

d.        Mailing address,

e.         Telephone and fax numbers at the address listed under subsection (B)(1)(d),

f.         State in which the applicant is licensed as a pharma- cist or pharmacy,

g.        Number of pharmacist or pharmacy license,

h.        Whether license held is for a pharmacist or phar- macy,

i.         Taxpayer identification number,

j.         Primary business name,

k.        Address of business location at which inventory and records are stored,

l.         Telephone and fax numbers at the address listed under subsection (B)(1)(k),

m.       Toll-free telephone number for use by Arizona cus- tomers, and

n.        Applicant’s dated signature affirming that the infor- mation provided is true and correct.

2.        The names of all corporate officers and of all general partners, if any;

3.        The fee listed at R4-21-102(C); and

4.        A certified copy of the license referenced in subsection (B)(1)(g).

C.       Registration as a nonresident contact-lens dispenser is valid for two years from the date issued. To renew registration, a registered nonresident contact-lens dispenser shall comply with subsection (B) before the registration expires.

Historical Note

New Section made by final rulemaking at 14 A.A.R. 12, effective February 2, 2008 (Supp. 07-4).