Online applications are not compatible with mobile browsers, including Safari.
Limited Distributors Instructions
Iowa Regulations
Required Documents
Additional Documents
Facility
License Sub-Type Identification
Business Information
Physical Address
Mailing Address
Limited Distributor Contact Information
Ownership Information
Business Practices-Select all that Apply
Products Distributed-Select all that Apply
Type of Customers-Select all that Apply
Hours of Operation
Registered Agent
Controlled Substances
Controlled Substances Handled
Federal Drug Enforcement Administration (DEA)
Self-Inspection
Inspection
Food and Drug Administration (FDA)
Accreditations
Other State Licenses
Facility Manager
Facility Manager Attestation
Criminal History
Disciplinary Actions
License Denials
Pending Investigations
Preview
Confirm and Submit
Physical and Mailing Address: 6200 Park Avenue, Suite 100, Des Moines, IA 50321-1270. (P): (515) 281-5944 (F): (515) 281-4609