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RTF Template

Bezirksregierung Arnsberg

UNION FORMAT FOR A WHOLESALE DISTRIBUTION AUTHORISATION

Human medicinal products

1. Authorisation Number	:	DE_NW_01_WDA_24.05.07-095
2. Name of Authorisation Holder	:	Adermed Medizintechnik GmbH (ORG-100025869 / LOC-100054948)
3. Address(es) of Site(s)	:	Wittekindstrasse 105, Mitte, Dortmund, North Rhine-Westphalia, 44139, Germany

4. Legally registered address of Authorisation Holder	:	Anton-Maas-Weg 1, Mitte, Hamm, North Rhine-Westphalia, 59063
5. Scope of authorisation	:	ANNEX 1
6. Legal basis of authorisation	:	Art. 77(1) of Directive 2001/83/EC
7. Name of responsible officer of the competent authority of the member state granting the wholesale distribution authorisation	:	Confidential, Confidential
8. Signature	:
9. Date	:	2025-07-25
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: Adermed Medizintechnik GmbH

(ORG-100025869 / LOC-100062388)

, Wittekindstrasse 105, Mitte, Dortmund, North Rhine-Westphalia, 44139, Germany

Human medicinal products

1. MEDICINAL PRODUCTS

1.1. with a Marketing Authorisation or registration 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): Traded medicinal products (MP):
- MP for use in pain therapy
- MP for use in anesthesia
- infusion solutions
- skin- and hand disinfectants.

-Arzneimittel für Anästhesie
-Arzneimittel für die Schmerztherapie
-Hände- und Hautdesinfektionsmittel
-Infusionslösungen

Union Format for a Wholesale Distribution Authorisation	DE_NW_01_WDA_24.05.07-095
	Page 1

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