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RTF Template

National Institute of Pharmacy and Nutrition

UNION FORMAT FOR A WHOLESALE DISTRIBUTION AUTHORISATION

1. Authorisation Number	:	HU-D-VDIS
2. Name of Authorisation Holder	:	"VIRIDIS-PHARMA" Gyógyszer-nagykereskedelmi, Kereskedelmi és Szolgáltató Korlátolt Felelősségű Társaság
3. Address(es) of Site(s)	:	Béke út 15-17., Bekecs, 3903, Hungary Keleti Márton út 12. - 2019 hrsz., MASPED Észak Pesti Logisztika Központ „B" terminál, (MÉPLK „B"), 1-es csarnokhoz tartozó „RÓNA" raktárrész és iroda (142m2), Fót, 2151, Hungary

4. Legally registered address of Authorisation Holder	:	Béke út 15-17., Bekecs, 3903, Hungary
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	:	2020-09-10
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: "VIRIDIS-PHARMA" Gyógyszer-nagykereskedelmi, Kereskedelmi és Szolgáltató Korlátolt Felelősségű Társaság

, Béke út 15-17., Bekecs, 3903, Hungary

1. MEDICINAL PRODUCTS

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

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

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

3.1.1. Narcotic or psychotropic products

3.1.3. Immunological medicinal products

3.3. Cold chain products(requiring low temperature handling)

3.4. Other products: see in restriction part

Any restrictions or clarifying remarks (for all users): 2. Authorised Wholesale Distribution Operation
2.2 Holding:
2.2.1 Room temperature (15-25°C) store-house
2.2.2 Cool chain (8-15°C) store-house
2.2.3 Cold chain (2-8°C) store-house

3. Medicinal products with additional requirements
3.4 Other products:
3.4.1 Homeopathic medicinal products

Additional provisions based on national requirements.
Name(s) of responsible person(s)
Dr. Nyitrai Andrea 79/2003 (pharmacist)