Agency for Medicinal Products and Medical Devices of Croatia
UNION FORMAT FOR A WHOLESALE DISTRIBUTION AUTHORISATION
1. Authorisation Number
:
UP/I-530-01/18-01/05; 381-10-05/228-18-05
2. Name of Authorisation Holder
LENISPHARM društvo s ograničenom odgovornošću za trgovinu i usluge
3. Address(es) of Site(s)
Rim 2, Zagreb, 10000, Croatia
Slavonska avenija 24/6, Zagreb, 10000, Croatia
4. Legally registered address of Authorisation Holder
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
2018-10-01
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
SCOPE OF WHOLESALE DISTRIBUTION AUTHORISATION
Name and address of the site: LENISPHARM d.o.o.
, Rim 2, Zagreb, 10000, Croatia
1.1. with a Marketing Authorisation in EEA country(s)
2.1. Procurement
Name and address of the site: MEDIKA, d.d.
, Slavonska avenija 24/6, Zagreb, 10000, Croatia
2.2. Holding
2.3. Supply
Reason for Withdrawing:
WDA licence has been superseded by a new document due to the change of the contract wholesale distribution site.
Union Format for a Wholesale Distribution Authorisation
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