25 TAC § 229.247. Licensing Procedures

(a) License application forms. License application forms may be obtained from the Texas Department of State Health Services, 1100 West 49th Street, Austin, Texas, 78756, or online at www.dshs.texas.gov.

(b) Contents of license application. The application for licensure as a wholesale distributor of nonprescription drugs must be signed and verified, submitted on a license application form furnished by the department, and contain the following information:

(1) the name of the legal entity to be licensed, including the name under which the business is conducted;

(2) the address of each place of business to be licensed;

(3) if a proprietorship, the name and residence address of the proprietor; if a partnership, the names and residence addresses of all partners; if a corporation, the date and place of incorporation and name and address of its registered agent in the state and corporation charter number; or if any other type of association, the names of the principals of such association;

(4) the name and valid driver license number for each individual in an actual administrative capacity which, in the case of proprietorship, must be the managing proprietor; partnership, the managing partner; corporation, the officers and directors; or those in a managerial capacity in any other type of association;

(5) for each place of business, the residence address of the individual in charge;

(6) a list of categories which must be marked and adhered to in the determination and payment of the fee as described in §229.249 of this subchapter (relating to Licensure Fees); and

(7) a statement verified by the applicant's signature acknowledging the applicant read, understood, and agrees to abide by the provisions of this subchapter and those of the Act.

(c) Renewal license application. The renewal application for licensure as a wholesale distributor of nonprescription drugs must be made on a license application form furnished by the department.