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RTF Template


District Government of Arnsberg

UNION FORMAT FOR A WHOLESALE DISTRIBUTION AUTHORISATION


1. Authorisation Number

:

DE_NW_01_WDA_2018/24.05.01.11-0802-002

2. Name of Authorisation Holder

:

Linde AG, Geschäftsbereich Linde Gas

3. Address(es) of Site(s)

:

Paulinenstraße 88, Marsberg, 34431, Germany 

Hugo-Ruegenberg-Straße 3, Olpe, 57462, Germany 

Boleweg 8, Soest, 59494, Germany 

Lindestraße 2, Wilnsdorf, 57234, Germany 

Mewer Ring 6, Witten, 58454, Germany 

Inh. Mike Borkenhagen, Juchostr. 95, Dortmund, 44143, Germany 




4. Legally registered address of Authorisation Holder

:

Carl-von-Linde-Straße 25, Unterschleißheim, 85716, Germany

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

:

2019-02-06

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: O.W. Sagel Handelsvertretung

, Paulinenstraße 88, Marsberg, 34431, 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 




Name and address of the site: Raiffeisen Sauer-Siegerland eG, NL Olpe

, Hugo-Ruegenberg-Straße 3, Olpe, 57462, 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 




Name and address of the site: Heunert GmbH & Co. KG

, Boleweg 8, Soest, 59494, 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 




Name and address of the site: Linde AG, Switchp. Schäfer Log. GmbH

, Lindestraße 2, Wilnsdorf, 57234, 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 




Name and address of the site: Maschinenhandel Frank GmbH

, Mewer Ring 6, Witten, 58454, 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 




Name and address of the site: Gas & More Dortmund

, Inh. Mike Borkenhagen, Juchostr. 95, Dortmund, 44143, 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 





*Art 5 of Directive 2001/83/EC or Art 83 of Regulation EC/726/2004

**Without prejudice to further authorisations as may be required according to national legislation













Union Format for a Wholesale Distribution Authorisation

DE_NW_01_WDA_2018/24.05.01.11-0802-002


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