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RTF Template

Landesamt für Gesundheit und Soziales Mecklenburg-Vorpommern

UNION FORMAT FOR A WHOLESALE DISTRIBUTION AUTHORISATION

1. Authorisation Number	:	01.20/410.0603
2. Name of Authorisation Holder	:	pro doc 24 GmbH & Co. KG
3. Address(es) of Site(s)	:	Am Damm 3, Wismar, Mecklenburg-Vorpommern, D-23970, Germany

4. Legally registered address of Authorisation Holder	:	Am Damm 3, Wismar, Mecklenburg-Vorpommern, D-23970, Germany
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	:	2020-08-06
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: pro doc 24 GmbH & Co. KG

, Am Damm 3, Wismar, Mecklenburg-Vorpommern, D-23970, Germany

1. MEDICINAL PRODUCTS

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

2. AUTHORISED WHOLESALE DISTRIBUTION OPERATIONS

2.1. Procurement

2.2. Holding

2.3. Supply

3. MEDICINAL PRODUCTS WITH ADDITIONAL REQUIREMENTS

3.2. Medicinal gases

Any restrictions or clarifying remarks (for all users): ref 1.1: only skin and hand disinfectants as well as freely available medicinal products according to § 44 German Medicines Act

zu 1.1: nur Haut- und Händedesinfektionsmittel sowie frei verkäufliche Arzneimittel gem. § 44 Arzneimittelgesetz

Union Format for a Wholesale Distribution Authorisation	01.20/410.0603
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