1. Authorisation Number
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6840 G
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2. Name of Authorisation Holder
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Specific Pharma A/S
(ORG-100036241 / LOC-100057319)
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3. Address(es) of Site(s)
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Victorialaan 15, 'S-HERTOGENBOSCH, 5213JG
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4. Legally registered address of Authorisation Holder
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Victorialaan 15, S Hertogenbosch, 5213 JG
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5. Scope of authorisation
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ANNEX 1
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6. Legal basis of authorisation
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Art. 77(1) of Directive 2001/83/EC
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7. Name of responsible officer of the competent authority of the member state granting the wholesale distribution authorisation
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Confidential, Confidential
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8. Signature
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9. Date
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2022-12-06
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10. Annexes attached
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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
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