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RTF Template

French National Agency for Medicines and Health Products Safety

UNION FORMAT FOR A WHOLESALE DISTRIBUTION AUTHORISATION

1. Authorisation Number	:	D 17/070
2. Name of Authorisation Holder	:	L'AUTRE PHARMACIE
3. Address(es) of Site(s)	:	ZA de Rudelle, lieu-dit Larroudé, LIAS, 32600, France

4. Legally registered address of Authorisation Holder	:	ZA de Rudelle, lieu-dit Larroudé, LIAS, 32600, France
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	:	2017-04-10
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: L'AUTRE PHARMACIE - LIAS

, ZA de Rudelle, lieu-dit Larroudé, LIAS, 32600, France

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

Any restrictions or clarifying remarks (for all users): This site is authorized as a central purchasing office.The central purchasing office is not authorized to distribute medicinal products which are refundable by mandatory health insurance schemes and is not authorized to distribute medicinal products outside the national territory.

Cet établissement est une centrale d'achat pharmaceutique.La centrale d'achat pharmaceutique n'est pas autorisée à distribuer des médicaments remboursables par les régimes obligatoires d'assurance maladie et n'est pas autorisée à distribuer de médicaments en dehors du territoire national.

*Art 5 of Directive 2001/83/EC or Art 83 of Regulation EC/726/2004

**Without prejudice to further authorisations as may be required according to national legislation

Union Format for a Wholesale Distribution Authorisation	D 17/070
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