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Arizona Administrative Code (Last Updated: November 17, 2016) |
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Title 9. HEALTH SERVICES |
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Chapter 17. DEPARTMENT OF HEALTH SERVICES MEDICAL MARIJUANA PROGRAM |
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Article 3. DISPENSARIES AND DISPENSARY AGENTS |
Section R9-17-308. Renewing a Dispensary Registration Certificate
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A. An entity with a dispensary registration certificate that has not submitted an application for approval to operate a dispensary to the Department at least 60 calendar days before the expira- tion date of the dispensary registration certificate or has not obtained an approval to operate a dispensary issued by the Department is prohibited from renewing the dispensary regis- tration certificate.
B. To renew a dispensary registration certificate, a dispensary that has an approval to operate a dispensary issued by the Depart- ment, shall submit to the Department, at least 30 calendar days
before the expiration date of the dispensary’s current dispen- sary registration certificate, the following:
1. An application in a Department-provided format that includes:
a. The legal name of the dispensary;
b. The registry identification number for the dispen- sary;
c. The physical address of the dispensary;
d. The name of the entity applying;
e. The name of the individual designated to submit dis- pensary agent registry identification card applica- tions on behalf of the dispensary;
f. The name and license number of the dispensary’s medical director;
g. The dispensary’s hours of operation during which the dispensary is available to dispense medical mari- juana to qualifying patients and designated caregiv- ers;
h. The name, address, date of birth, and registry identi- fication number of each:
i. Principal officer,
ii. Board member, and
iii. Dispensary agent;
i. For each principal officer or board member, whether the principal officer or board member:
i. Has served as a principal officer or board mem- ber for a dispensary that had the dispensary reg- istration certificate revoked,
ii. Is a physician currently providing written certi- fications for qualifying patients,
iii. Is a law enforcement officer, or
iv. Is employed by or a contractor of the Depart- ment;
j. The dispensary’s Transaction Privilege Tax Number issued by the Arizona Department of Revenue;
k. Whether the dispensary agrees to allow the Depart- ment to submit supplemental requests for informa- tion;
l. An attestation that the information provided to the Department to renew the dispensary registration cer- tificate is true and correct; and
m. The signature of the individual or individuals in R9- 17-301(A) and the date the individual or individuals signed;
2. If the application is for renewing a dispensary registration certificate that was initially issued within the previous 12 months, a copy of the dispensary’s approval to operate a dispensary issued by the Department;
3. A copy of an annual financial statement for the previous year, or for the portion of the previous year the dispensary was operational, prepared according to generally accepted accounting principles;
4. A report of an audit by an independent certified public accountant of the annual financial statement required in subsection (B)(3); and
5. The applicable fee in R9-17-102 for applying to renew a dispensary registration certificate.
Historical Note
New Section made by exempt rulemaking at 17 A.A.R. 734, effective April 14, 2011 (Supp. 11-2). Amended by emergency rulemaking at 18 A.A.R. 1010, effective April 11, 2012 for 180 days (Supp. 12-2). Emergency expired (Supp. 12-4). Amended by final rulemaking at 18 A.A.R. 3354, with an immediate effective date of December 5, 2012 (Supp. 12-4).