Regional Council Darmstadt
UNION FORMAT FOR A WHOLESALE DISTRIBUTION AUTHORISATION
1. Authorisation Number
:
DE_HE_01_WDA_2017_0028
2. Name of Authorisation Holder
Zahra Tamadon (pharmaatam)
3. Address(es) of Site(s)
Seligenstädter Straße 1, Seligenstadt, Hessen, 63500, Germany
4. Legally registered address of Authorisation Holder
5. Scope of authorisation
ANNEX 1
6. Legal basis of authorisation
7. Name of responsible officer of the competent authority of the member state granting the wholesale distribution authorisation
Confidential, Confidential
8. Signature
9. Date
2017-05-16
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
SCOPE OF WHOLESALE DISTRIBUTION AUTHORISATION
Name and address of the site: Zahra Tamadon (pharmaatam)
, Seligenstädter Straße 1, Seligenstadt, Hessen, 63500, Germany
1.1. with a Marketing Authorisation in EEA country(s)
2.1. Procurement
2.2. Holding
2.3. Supply
2.4. Export
3.3. Cold chain products(requiring low temperature handling)
Any restrictions or clarifying remarks (for all users): none
keine
Reason for Withdrawing:
invalid - authorisation holder is deceased
ungültig - Erlaubnisinhaberin ist verstorben
Union Format for a Wholesale Distribution Authorisation
Page 1
Loading, please wait