Iowa wholesale license 2026

1. Click ‘Get Form’ to open the Iowa Wholesale Drug License Application in the editor.
2. Begin by selecting whether you are applying for a New license, Renewal, or Change. Fill in your current Iowa Wholesale Drug License number if applicable.
3. Provide your Name and Mailing Address where all correspondence will be sent. Ensure accuracy as this is crucial for communication regarding your licensure.
4. Enter the Legal Name and Licensed Location Address of your business, along with the Business Phone number.
5. Fill in the Emergency Contact Phone at the licensed facility and Business Fax number.
6. Identify the Responsible Contact Person at the licensed facility by providing their Name and Title.
7. Complete the E-mail Address and Internet Address fields to facilitate further communication.
8. Attach a detailed description of operations, including types of drugs distributed and customer types served, as specified in section 10.
9. Indicate your Type of Ownership or Operation by selecting from Sole Proprietorship, Partnership, Corporation, or Other.
10. Answer questions regarding any convictions or previous license issues in section 13. Be thorough to avoid complications.
11. Finally, review all information for accuracy before signing at the bottom of the form. Incomplete applications will be returned.

Start filling out your Iowa Wholesale License application online for free today!