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(a) Comply with all procedures for Discontinuing a Pharmacy as outlined in R4-23-613.
(b) Return the most current pharmacy permit that was issued to the pharmacy by the Board (if the
permit cannot be located, then send a statement to that effect.);
(c) The pharmacy permittee shall ensure that all pharmacy signs and symbols are removed from
both the inside and outside of the premises.
(d) A.R.S. 36-2523 (B). A person who holds a permit to operate a pharmacy issued under title 32,
chapter 18 shall inventory schedule II, III, IV and V controlled substances as prescribed by federal
law. The permit holder shall conduct this inventory on May 1 of each year or as directed by the
Arizona state board of pharmacy. The permit holder shall also conduct this inventory if there is
a change of ownership or discontinuance of business or within ten days of a change of a
pharmacist in charge.
(e) The name and address of the pharmacy to which the prescription drug orders were transferred.
ARIZONA STATE BOARD OF PHARMACY
P.O. Box 18520
Phoenix, AZ 85005
(f) Send a letter to the appropriate DEA divisional office explaining that the pharmacy has closed.
Include the following items with the letter:
(i) DEA registration certificate;
(ii) All unused DEA Order Forms — write the word “VOID” on the face of each Order Form;
(iii) Copy 2 (green) of any DEA Order Forms used to transfer C-II drugs from the closed
(g) During the seven-year record retention period specified in subsection (A)(4), the person
described in subsection (A)(4) shall provide to the Board upon its request a discontinued
pharmacy’s records of prescription files and patient profiles.
NOTE: It is your responsibility to review all sections that pertain to closing a pharmacy and to be
compliant with those rules.