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RTF Template

Bulgarian Drug Agency

UNION FORMAT FOR A WHOLESALE DISTRIBUTION AUTHORISATION

1. Authorisation Number	:	BG/WDA/MP - 0176
2. Name of Authorisation Holder	:	МИНЕВСКИ - ФАРМА ЕООД / MINEVSKI - PHARMA LTD
3. Address(es) of Site(s)	:	ул. „Димитър Благоев" № 3/3 Dimitar Blagoev str., гр. Брезово/Brezovo, 0000, Bulgaria

4. Legally registered address of Authorisation Holder	:	ЕИК / UIC: 203082054, район Централен, ул. „Найден Геров" № 17, вх. А, ап. 3/, Central district, 17 Nayden Gerov str., ent. А, ap. 3, гр. Пловдив / Plovdiv, 4000, Bulgaria
5. Scope of authorisation (complete for each site under 4)	:	ANNEX 1
6. Legal basis of authorisation	:
7. Name of responsible officer of the competent authority of the member state granting the wholesaling authorisation	:	Confidential, Confidential
8. Signature	:
9. Date	:	2020-04-14
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: МИНЕВСКИ - ФАРМА ЕООД / MINEVSKI - PHARMA LTD

, ул. „Димитър Благоев" № 3/3 Dimitar Blagoev str., гр. Брезово/Brezovo, 0000, Bulgaria

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

2.4. Export

*Art 5 of Directive 2001/83/EC or Art 83 of Regulation EC/726/2004

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

Union Format for a Wholesale Distribution Authorisation	BG/WDA/MP - 0176
	Page 1

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