OAR 855-141-0015: Registration: Application

(1) An application for registration of a PPK may be accessed on the board website. (2) The board may issue a license to a qualified applicant after the receipt of: (a) A completed application including; (A) Payment of the fee prescribed in OAR 855-110; (B) A floor plan drawn to scale with the location of the: (i) PPK within the building; (ii) Surveillance system cameras; and (iii) Alarm system panel; and (C) A detailed explanation and supporting documentation relating to the PPK Affiliated Pharmacy regarding all conduct that is required to be disclosed; (b) The PPK Affiliated Pharmacy name, Retail Drug Outlet registration number and Pharmacist-in-Charge; and (c) Indicate the owner, trustee, receiver, or other person applying for the registration. When an applicant is not the owner of the pharmacy, the application must indicate the owner and the applicant's affiliation with the owner: (A) If the owner is a partnership or other multiple owners, the names of the partners or persons holding the five largest interests must be indicated on the application; and (B) If the owner is a corporation, the name filed must be the same as filed with the Secretary of State. The name of the corporation, the names of the corporation officers and the names of the stockholders, if applicable, who own the five largest interests must be indicated on the application. (3) Upon request by the board, the applicant must furnish such information as required by the board regarding the partners, stockholders, or other persons not named in the application. (4) A registration may be denied for any of the following: (a) Failure to completely and accurately answer all questions on the application for registration or renewal of registration; (b) Failure to disclose any requested information on the application or requests resulting from the application; or (c) Any other grounds found in ORS 689.405. (5) An application submitted to the board that is not complete within 90 days from applicant submission will be expired. Once expired, an applicant who wishes to continue with the application process must reapply by submitting a new application, along with all documentation, and all fees. While a new application and documentation is required, the board may still consider information that was provided in previous applications. (6) The certificate of registration for a PPK must be issued prior to opening. (7) The registration for a PPK expires March 31 in each year and may be renewed annually.