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Get Ia 588-8086 2013-2025
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How to fill out the IA 588-8086 online
The IA 588-8086 is a crucial document for individuals or entities seeking a wholesale drug license in Iowa. This guide provides detailed, step-by-step instructions to help you successfully complete the form online.
Follow the steps to complete the IA 588-8086 form accurately.
- Click ‘Get Form’ button to access the IA 588-8086 document and open it in your chosen online editor.
- In section 1, select the appropriate option for your application type: New, Renewal, or Change. Specify any changes if applicable and note the Iowa wholesale drug license number and fee.
- Complete section 2 with your name and mailing address where correspondence will be sent. Ensure that you provide a complete and accurate address, as this will be used for all related communication.
- Fill in the legal name and licensed location address in section 3, ensuring that all information is clearly presented.
- Enter the business phone number in section 4, including the area code.
- In section 5, provide an emergency contact phone number for your licensed facility.
- Complete section 6 with your business fax number. If you do not have a fax, you can skip this section or write 'N/A.'
- Fill out section 7 with the name and title of the responsible contact person at the licensed facility.
- Provide your email address in section 8 to receive updates and communications regarding your license.
- In section 9, enter your internet address, if applicable, to help the licensing board facilitate communication.
- Detailed operations must be described in section 10. Attach a typewritten description outlining your operational hours, types of drugs you distribute, and customer types.
- Indicate the type of ownership in section 11 — select either sole proprietorship, partnership, corporation, or other, and specify if necessary.
- Provide the owner's or operator's information in section 12, detailing the necessary addresses and roles involved in the operation.
- In section 13, answer questions regarding any convictions or licensure issues pertaining to the applicants or managers.
- List any doing business as (DBA) names in section 14. If there are none, write 'none'.
- In section 15, document any other states where you are licensed to distribute wholesale drugs or devices.
- Provide home state information in section 16, including various license numbers and expiration dates as applicable.
- If your home state is not Iowa, attach a recent inspection report in section 17 and explain any unavailability.
- Finally, ensure all required information is completed before signing and dating the application at the end of the document. Incomplete applications will not be accepted.
- Once all sections are completed, you can save your changes, download your application, print a copy, or share it as needed.
Complete your IA 588-8086 application online today to ensure compliance with Iowa's wholesale drug distribution requirements.
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