1. Authorisation Number

:

DE_NW_02_WDA_2019_0024

2. Name of Authorisation Holder

:

Zahnärztliche Genossenschaft Westfalen-Lippe e.G. (ZAG-WL e.G.)

3. Address(es) of Site(s)

:

Königstraße 60, Minden, 32427, Germany 

4. Legally registered address of Authorisation Holder

:

Königstraße 60, Minden, 32427, 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

:

2019-11-20

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

Name and address of the site: Zahnärztliche Genossenschaft Westfalen-Lippe e.G. (ZAG-WL e.G.)

, Königstraße 60, Minden, 32427, Germany   

Any restrictions or clarifying remarks (for all users):  only trading without storage
only the following medicinal products:
- medicinal products in the field of dentistry (Sec. 47 Par 1 Nr 7 German Medicincal Products Law)
- skin-, hand- and wounddesinfectants

nur Handel ohne Lagerung
nur folgende Arzneimittel:
- Arzneimittel für die Zahnheilkunde (§ 47 Abs. 1 Nr. 7 AMG)
- Haut-, Hände- und Wunddesinfektionsmittel

Union Format for a Wholesale Distribution Authorisation

DE_NW_02_WDA_2019_0024

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