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RTF Template

State Agency Of Medicines

UNION FORMAT FOR A WHOLESALE DISTRIBUTION AUTHORISATION

Human medicinal products

1. Authorisation Number	:	L00120
2. Name of Authorisation Holder	:	GP Nord SIA (ORG-100036640 / LOC-100102537)
3. Address(es) of Site(s)	:	Vismani K-5, Marupes Pag, Marupes Nov, LV-2167, Latvia

4. Legally registered address of Authorisation Holder	:	Vismani K-5, Marupes Pag, Marupes Nov, LV-2167
5. Scope of authorisation	:	ANNEX 1
6. Legal basis of authorisation	:	Art. 77(1) of Directive 2001/83/EC
7. Name of responsible officer of the competent authority of the member state granting the wholesale distribution authorisation	:	Confidential, Confidential
8. Signature	:
9. Date	:	2026-07-14
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: GP Nord SIA

(ORG-100036640 / LOC-100102537)

, Vismani K-5, Marupes Pag, Marupes Nov, LV-2167, Latvia

Human medicinal products

1. MEDICINAL PRODUCTS

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

1.2. without a Marketing Authorisation or registration in the EEA and intended for EEA market*

1.3. without a Marketing Authorisation or registration 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

3.1. Narcotic or psychotropic products**

3.2. Products requiring low temperature handling

3.2.1. Temperatures between 2 to 8 °C

3.2.2. Other temperatures: (please specify) between -18°C and -22°C

3.3. Other products: (please specify here or make a reference to Annex 5) see Annex 1 Remarks

Any restrictions or clarifying remarks (for all users): 3.1.1.psychotropic medicinal products, 3.1.3. narcotic and equivalent thereto psychotropic medicinal products; 3.3.1 medicinal products derived from human blood and plasma, 3.3.2.immunological medicinal products

*Art. 5 of Directive 2001/83/EC, Art. 83 of Regulation (EC) 726/2004 and Art. 110 of Regulation 2019/6.

**Without prejudice to further authorisations as may be required according to national legislation.

Union Format for a Wholesale Distribution Authorisation	L00120
	Page 1

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