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Send terminal distributor license via email, link, or fax. You can also download it, export it or print it out.
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Click ‘Get Form’ to open the tddd license application in the editor.
Indicate whether this is a new license or a change to an existing one. Provide the proposed date of opening or licensing change, and if applicable, the current TDDD license number.
Fill in the business name under which you will operate and provide the complete street address where dangerous drugs will be stored. Ensure no P.O. Box is used for this section.
List any other names your entity may conduct business under, if applicable.
Provide contact information for someone who can answer questions regarding the application.
Select the type of business organization and list the owners or officers as required. If incorporated, include necessary corporation details.
Choose the appropriate category of license based on your facility's needs and ensure you understand the associated fees.
Complete all legal questions accurately to avoid delays in processing your application.
Sign and date the application manually, ensuring that all information provided is true and complete before submission.
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B. Second, investigators are required to first obtain a TDDD License from the Ohio Board of Pharmacy before the DEA will issue a registration. InvestigatorsRead more
Terminal Distributor or Drug Distributor Application or
Feb 4, 2025 This form must be submitted with an application or license renewal in the eLicense Ohio system. Part 1 Applicant Information - To be completedRead more
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