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Get the free Drug control additional location license application - State of Michigan - michigan

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FOR BOARD USE ONLY License # Michigan Department of Licensing and Regulatory Affairs Bureau of Health Care Services Health Licensing Division PO Box 30670 Lansing, MI 48909 (517) 335-0918 LARA/LPH-075
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How to fill out drug control additional location:

01
Start by entering the name of the individual or organization requiring the drug control additional location.
02
Provide the contact information of the person in charge of the drug control additional location, including their name, phone number, and email address.
03
Specify the address where the drug control additional location will be physically located.
04
Indicate the purpose or reason for establishing the drug control additional location.
05
Describe the activities or operations that will take place at the drug control additional location.
06
Provide any necessary documentation or permits that may be required for the establishment of the drug control additional location.
07
Finally, sign and date the form to certify the accuracy of the information provided.

Who needs drug control additional location?

01
Individuals or organizations involved in the manufacturing, distribution, or storage of controlled substances may need a drug control additional location.
02
Research institutions, hospitals, and clinics that conduct studies or trials involving controlled substances may also require a drug control additional location.
03
Companies or facilities involved in the disposal or destruction of controlled substances may need a drug control additional location to carry out these activities.
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Drug control additional location is an additional location where controlled substances are stored, handled, or distributed.
Any entity that is registered with the Drug Enforcement Administration (DEA) and operates additional locations where controlled substances are handled must file drug control additional location.
To fill out drug control additional location, the entity must provide information about the additional location, including address, contact information, security measures, and a list of controlled substances handled at that location.
The purpose of drug control additional location is to ensure that all locations where controlled substances are handled are properly registered and monitored by the DEA.
The information that must be reported on drug control additional location includes the address of the additional location, contact information, security measures in place, and a list of controlled substances handled at that location.
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