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RTF Template

National Agency for Medicines and Medical Devices of Romania

UNION FORMAT FOR A WHOLESALE DISTRIBUTION AUTHORISATION

1. Authorisation Number	:	490D
2. Name of Authorisation Holder	:	S.C. A&S MED WAREHOUSE S.R.L.
3. Address(es) of Site(s)	:	Str. Mitropolit Varlaam nr. 56, spaţiul 1, Mun. Iaşi, Jud. Iaşi, cod poştal 700224, Romania Şos. Industrială nr.6, lot 1, clădirea C29, în incinta Logistic Park SA, spaţiul nr.1, Mun. Constanţa, Jud. Constanţa, cod poştal 900147, Romania

4. Legally registered address of Authorisation Holder	:	Str. Mitropolit Varlaam nr. 56, Mun. Iaşi, Jud. Iaşi, cod poştal 700224, Romania
5. Scope of authorisation (complete for each site under 4)	:	ANNEX 1
6. Legal basis of authorisation	:
7. Name of responsible officer of the competent authority of the member state granting the wholesaling authorisation	:	Confidential, Confidential
8. Signature	:
9. Date	:	2021-10-05
10. Annexes attached	:	Annex 1 Scope of wholesale distribution authorisation Annex 2 (Optional) Address(es) of contract wholesale distribution sites and their authorisation number Annex 3 (Optional) Name(s) of responsible person(s) Annex 4 (Optional) Date of Inspection on which authorisation was granted Annex 5 (Optional) Additional provisions based on national requirements

ANNEX 1

SCOPE OF WHOLESALE DISTRIBUTION AUTHORISATION

Name and address of the site: A&S MED WAREHOUSE S.R.L.

, Str. Mitropolit Varlaam nr. 56, spaţiul 1, Mun. Iaşi, Jud. Iaşi, cod poştal 700224, Romania

1. MEDICINAL PRODUCTS

1.1. with a Marketing Authorisation in EEA country(s)

2. AUTHORISED WHOLESALE DISTRIBUTION OPERATIONS

2.1. Procurement

2.2. Holding

2.3. Supply

2.4. Export

3. MEDICINAL PRODUCTS WITH ADDITIONAL REQUIREMENTS

3.1.1. Narcotic or psychotropic products

3.1.2. Medicinal products derived from blood

3.1.3. Immunological medicinal products

3.3. Cold chain products(requiring low temperature handling)