National Organization for Medicines
UNION FORMAT FOR A WHOLESALE DISTRIBUTION AUTHORISATION
1. Authorisation Number
:
25079
2. Name of Authorisation Holder
PELOFARM E.E
3. Address(es) of Site(s)
55 OCTOBER 28th, TRIPOLI, ARCADIA, 22100, Greece
4. Legally registered address of Authorisation Holder
28th OCTOVRIOU 55, TRIPOLI, 22100, Greece
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
2016-03-16
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: PELOFARM E.E.
, 55 OCTOBER 28th, TRIPOLI, ARCADIA, 22100, Greece
1.1. with a Marketing Authorisation in EEA country(s)
2.1. Procurement
2.2. Holding
2.3. Supply
2.4. Export
Reason for Withdrawing:
AFTER REQUEST
Union Format for a Wholesale Distribution Authorisation
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