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RTF Template


Bezirksregierung Düsseldorf

UNION FORMAT FOR A WHOLESALE DISTRIBUTION AUTHORISATION


1. Authorisation Number

:

DE_NW_03_WDA_2018_0039/24.05.05.01-Dr.Deppe

2. Name of Authorisation Holder

:

Laboratorium Dr. Deppe GmbH

3. Address(es) of Site(s)

:

Hooghe Weg 35, Kempen, 47906, Germany 




4. Legally registered address of Authorisation Holder

:

Hooghe Weg 35, Kempen, 47906, 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

:

2018-12-04

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: Laboratorium Dr. Deppe GmbH

, Hooghe Weg 35, Kempen, 47906, 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 



Any restrictions or clarifying remarks (for all users):  Trading with Skin and Hand disinfectant only

Handel ausschließlich mit Haut- und Händedesinfektionsmitteln













Union Format for a Wholesale Distribution Authorisation

DE_NW_03_WDA_2018_0039/24.05.05.01-Dr.Deppe


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