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RTF Template

Bulgarian Drug Agency

UNION FORMAT FOR A WHOLESALE DISTRIBUTION AUTHORISATION

1. Authorisation Number	:	BG/WDA/MP-0087
2. Name of Authorisation Holder	:	"PCP"EOOД/RSR LTD
3. Address(es) of Site(s)	:	108 Besarabia str., Sofia, 1517, Bulgaria 15 Pirin Str., Lom, 3600, Bulgaria

4. Legally registered address of Authorisation Holder	:	ул. "Виктор Григорович"№3, вх.1, партер ап.1/, 3 Viktor Grigorovich str. entr.1, ground floor, ap. 1, София/Sofia, район Красно село/district Krasno selo, 1606, Bulgaria
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	:	2019-03-20
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: RSR LTD

, 108 Besarabia str., Sofia, 1517, Bulgaria

1. MEDICINAL PRODUCTS

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

1.2. without a Marketing Authorisation in the EEA and intended for EEA market

1.3. without a Marketing Authorisation in the EEA and intended for exportation

2. AUTHORISED WHOLESALE DISTRIBUTION OPERATIONS

2.1. Procurement

2.2. Holding

2.3. Supply

2.4. Export

3. MEDICINAL PRODUCTS WITH ADDITIONAL REQUIREMENTS

3.3. Cold chain products(requiring low temperature handling)

Name and address of the site: "PCP"EOOД/RSR LTD

, 15 Pirin Str., Lom, 3600, Bulgaria