CSA-I INITIAL APPLICATION

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Controlled Substance Act Registration for Individual Practitioners or Researchers

Prescription Monitoring Program (PMP) Registration Required

CSA Registration Process without a current Drug Enforcement Administration (DEA) number

CSA Registration Process with a current Drug Enforcement Administration (DEA) number

Iowa Regulations

Military or Veteran Status

Required Documents

Any Prior Iowa Board of Pharmacy Licensure

Registration Sub-type

Registrant Information

Iowa Practice or Business Address

Mailing Address

Contact Information

Licensure Information

Controlled Substances

Criminal History

Disciplinary Actions

Surrenders in lieu of Disciplinary Actions

Pending Investigations

Lost or Stolen Controlled Substances

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Physical and Mailing Address: 400 S.W. Eighth Street, Suite E, Des Moines, IA 50309-4688. (P): (515) 281-5944 (F): (515) 281-4609