What could happen if a pharmacy distributes controlled substances without proper documentation?

Distributing controlled substances without proper documentation can lead to significant legal implications, which is why the selection of possible legal penalties and loss of license is the correct answer. The distribution of controlled substances is heavily regulated under federal and state laws, including the Controlled Substances Act. Pharmacies are required to maintain accurate records for every transaction involving controlled substances to ensure accountability and traceability.

Failure to adhere to these documentation requirements can result in serious consequences, including criminal charges, civil penalties, and administrative actions such as the suspension or revocation of the pharmacy's license to operate. Additionally, the pharmacy may face scrutiny from regulatory agencies such as the Drug Enforcement Administration (DEA), which can lead to audits, fines, or even legal prosecution.

In contrast, the other options lack validity in this context. There are legal requirements that must be followed, contrary to the implication that "nothing" would happen. An increase in customer traffic does not have any relevance to the legal consequences of poor documentation, and receiving reimbursement from the DEA is unfounded as the DEA does not compensate pharmacies in such scenarios. Therefore, the ramifications of poor compliance with documentation requirements highlight the importance of adhering to regulatory standards in pharmacy practice.