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RTF Template

Bezirksregierung Köln

UNION FORMAT FOR A WHOLESALE DISTRIBUTION AUTHORISATION

1. Authorisation Number	:	DE_NW_04_WDA_2019-0106-03
2. Name of Authorisation Holder	:	NARICO Pharma- und Chemikalienhandelsgesellschaft mbH
3. Address(es) of Site(s)	:	Frankfurter Str. 22 a, (Büro), Siegburg, 53721, Germany Am Turm 38 c, (Lager), Siegburg, 53721, Germany

4. Legally registered address of Authorisation Holder	:	Frankfurter Str. 22 a, Siegburg, 53721, 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	:	2019-09-27
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: NARICO Pharma- und Chemikalienhandelsgesellschaft mbH

, Frankfurter Str. 22 a, (Büro), Siegburg, 53721, Germany

1. MEDICINAL PRODUCTS

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

1.3. without a Marketing Authorisation in the EEA and intended for exportation

2. AUTHORISED WHOLESALE DISTRIBUTION OPERATIONS

2.1. Procurement

2.2. Holding

2.3. Supply

2.4. Export

3. MEDICINAL PRODUCTS WITH ADDITIONAL REQUIREMENTS

3.3. Cold chain products(requiring low temperature handling)

Any restrictions or clarifying remarks (for all users): None.

Keine.