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90 na18210201744 91 241011

Doh 4330 form 2008-2025

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The document is a license application form from the New York State Department of Health's Bureau of Narcotic Enforcement for engaging in controlled substance activities. It includes sections for applicant information, application type (new or renewal), license classification, fees, and acknowledgments regarding compliance with laws and regulations. The form also requires details about the storage of controlled substances and supervisor information if applicable. Additionally, it addresses prior convictions and licensing issues related to controlled substances.

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Click ‘Get Form’ to open the doh 4330 form 2008 in the editor.
Begin by filling out the 'Applicant Information' section. Enter your legal name, contact information, and any applicable titles. Ensure that you include a street address if using a P.O. Box.
Select the 'Application Type' by checking either 'NEW' or 'RENEWAL'. If applicable, indicate any changes such as name or address changes.
In the 'License Classification' section, check only one box that corresponds to your type of activity, such as Manufacturer or Distributor.
Complete the 'Controlled Substance Schedule(s) to be Utilized' and 'Storage of Controlled Substances' sections by checking all relevant options and providing descriptions where necessary.
If someone other than yourself will supervise controlled substance activity, fill in their details in the 'Supervisor of Controlled Substance Activity' section.
Review the applicant acknowledgments carefully and ensure you understand all stipulations before signing at the bottom of the form.

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Versions	Form popularity	Fillable & printable
2016	4.8 Satisfied (112 Votes)
2012	4.2 Satisfied (164 Votes)
2008	4.3 Satisfied (171 Votes)

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Are controlled substances regulated by law?

The Controlled Substances Act (CSA) establishes a unified legal framework to regulate certain drugs and other substances that are deemed to pose a risk of abuse and dependence. The CSA may apply to drugs that are medical or recreational, legally or illicitly distributed, but the statute does not apply to all drugs.

Can you prescribe controlled substances without a DEA license?

A practitioner can only administer, dispense, prescribe, procure, or store controlled substances in a state if they first hold a DEA registration in that state.

What is the difference between a DEA license and a controlled substance license?

What is the difference between the DEA and the CDS certificates? CDS registration is a state requirement and handled by a state agency (for those states that have a controlled substance registration requirement), and DEA registration is handled at the federal level. CDS stands for controlled dangerous substance.

How long is a controlled substance license good for?

Summary for DEA Registration Renewal Registration is renewed annually for DEA registrants with a Researcher license or every three years for DEA registrants with a Practitioner license.

Which states require a CDS license?

For providers needing a state-level CDS license, we can prepare the necessary paperwork on your behalf for any of the following states that currently require a state-level controlled substance registration: AL, CT, DE, DC, HI, ID, IL, IN, IA, LA, MD, MA, MI, MO, NV, NJ, NM, OK, RI, SC, SD, UT and WY.

Does New York require a controlled substance license?

Businesses that manufacture, distribute, or use controlled substances need a license. This license is from the New York State Department of Health (NYSDOH). Controlled substances are defined under federal law. They include opioids, methamphetamines, marijuana, alcohol products, hallucinogenic drugs and other narcotics.

Doh 4330 form 2008-2025

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