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RTF Template

Bezirksregierung Düsseldorf

UNION FORMAT FOR A WHOLESALE DISTRIBUTION AUTHORISATION

1. Authorisation Number	:	DE_NW_03_WDA_2019_0021/ 24.05.05.01-Johnson&Johnson
2. Name of Authorisation Holder	:	Johnson & Johnson GmbH
3. Address(es) of Site(s)	:	Johnson & Johnson Platz 2, Neuss, Nordrhein-Westfalen, 41470, Germany

4. Legally registered address of Authorisation Holder	:	Johnson & Johnson Platz 2, Neuss, Nordrhein-Westfalen, 41470, 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	:	2019-10-01
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: Johnson & Johnson GmbH

, Johnson & Johnson Platz 2, Neuss, Nordrhein-Westfalen, 41470, Germany

1. MEDICINAL PRODUCTS

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

2. AUTHORISED WHOLESALE DISTRIBUTION OPERATIONS

2.1. Procurement

2.3. Supply

Any restrictions or clarifying remarks (for all users): The scope of this authorisation is granted with the restriction, that no storage of medicinal products is allowed in the site mentioned above. The storage is carried out by the company mentioned in Annex 2.

Annex 2:
1.
CPL Pharma Lager und Vertrieb GmbH
Solmsstr. 25
60486 Frankfurt am Main (Büro)

CPL Pharma Lager und Vertrieb GmbH
Am Kautzgrund 14
36103 Flieden (Lager)

Die Erlaubnis wird mit der Einschränkung erteilt, dass keine Lagerung von Arzneimitteln in der oben genannten Betriebsstätte erlaubt ist. Die Lagerung erfolgt durch den in der Anlage 2 genannten Betrieb.

ANLAGE 2:
Anschrift/en und Erlaubnisnummer/n der Betriebsstätte/n beauftragter Großhändler:
1.
CPL Pharma Lager und Vertrieb GmbH
Solmsstr. 25
60486 Frankfurt am Main (Büro)

CPL Pharma Lager und Vertrieb GmbH
Am Kautzgrund 14
36103 Flieden (Lager)

Union Format for a Wholesale Distribution Authorisation	DE_NW_03_WDA_2019_0021/ 24.05.05.01-Johnson&Johnson
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