Texas Form Lic 018 PDF Details

When contemplating the establishment of a new pharmacy in Texas, one crucial step involves the thorough completion and submission of the Texas State Board of Pharmacy's New Pharmacy Checklist, known as the LIC-018 form. This document serves as a vital precursor to any pharmacy application, ensuring that potential pharmacy owners meticulously verify that all foundational requirements have been met prior to the submission of their application. The checklist encompasses a variety of essential components, from the adequacy of the physical space to accommodate the services offered, to the presence of necessary utilities such as water and electricity, and the procurement of fixtures for drugs, equipment, and supply storage. Additionally, it inquires about any existing ownership interests in other Texas pharmacies, which indicates the regulatory board's interest in a comprehensive understanding of an applicant's involvement in the pharmaceutical landscape. This form, residing at the intersection of regulatory diligence and patient care considerations, exemplifies the Texas State Board of Pharmacy's commitment to ensuring that new pharmacies are well-equipped to serve the public efficiently and safely from the very start.

QuestionAnswer
Form NameTexas Form Lic 018
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesprospective, LIC-018, Ste, Fixtures

Form Preview Example

TEXAS STATE BOARD OF PHARMACY

333 Guadalupe Street, Ste. 3-600

Austin, Texas 78701

512-305-8021

512-305-8082 (fax)

www.tsbp.state.tx.us

NEW PHARMACY CHECKLIST

(Submit this form only after all the items on this checklist are complete)

PHARMACY NAME & LOCATION ADDRESS (Street, City, ZIP)

A building with space adequate for the size and scope of pharmaceutical services provided by the pharmacy.

An area dedicated for the prescription department, including an area suitable for confidential patient counseling if the pharmacy serves the general public.

Water supply exists.

Electrical supply exists

Fixtures (i.e. shelving, counter tops, etc.) for storage of drugs, equipment and supplies, necessary to operate a pharmacy have been ordered.

Does the prospective owner currently have ownership interest in any other pharmacy in Texas?

YES

NO

If yes, please provide the name and address of the pharmacy:

THIS FORM MUST BE SUBMITTED WITH ALL

NEW PHARMACY APPLICATIONS

LIC-018 (Rev. 08/04)

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