1. Authorisation Number

:

HU-D-IZIN

2. Name of Authorisation Holder

:

Izinta Kereskedelmi Kft.

(ORG-100005726 / LOC-100002265)

3. Address(es) of Site(s)

:

Konkoly-Thege Miklos Ut 29-33, Budapest XII, 1121, Hungary 

4. Legally registered address of Authorisation Holder

:

Konkoly-Thege Miklos Ut 29-33, Budapest XII, 1121

5. Scope of authorisation

:

ANNEX 1

6. Legal basis of authorisation

:

Art. 77(1) of Directive 2001/83/EC

7. Name of responsible officer of the competent authority of the member state granting the wholesale distribution authorisation

:

Confidential, Confidential

8. Signature

:

9. Date

:

2022-03-16

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

Name and address of the site: Izinta Kereskedelmi Kft.

(ORG-100005726 / LOC-100002265)

, Konkoly-Thege Miklos Ut 29-33, Budapest XII, 1121, Hungary   

Human medicinal products

Any restrictions or clarifying remarks (for all users):  The warehouses were located in
Building XV. Ground Floor 19.
Building XXVIII/A

Additional provisions based on national requirements
Responsible person:                       diploma No is:
Dr. Szabó Gabriella                            90/2002 (pharmacist)

Reason for Withdrawing:

The WD licence was withdrawn because a new modified licence was issued.

Union Format for a Wholesale Distribution Authorisation

HU-D-IZIN

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