1. Authorisation Number

:

DE_SH_01_WDA_2018_0027

2. Name of Authorisation Holder

:

Hans-E. Lembcke e. K.

3. Address(es) of Site(s)

:

Langer Kamp 67, Norderstedt, 22850, Germany 

4. Legally registered address of Authorisation Holder

:

Langer Kamp 67, Norderstedt, 22850, 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

:

2018-10-24

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: Hans-E. Lembcke e. K.

, Langer Kamp 67, Norderstedt, 22850, Germany   

Any restrictions or clarifying remarks (for all users):  National legal basis of authorisation: Section 52a (1) German Drug Law (Arzneimittelgesetz - AMG).

1.3. Medicinal products for human use without a Marketing Authorisation in the EEA and not placed on the EEA market (medicinal products for third countries)

Drop shipment in transit only.

Union Format for a Wholesale Distribution Authorisation

DE_SH_01_WDA_2018_0027

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