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Information Messages

The WDA has been withdrawn, withdrawn date is: 2024-12-24

RTF Template

Ministerie van Volksgezondheid, Welzijn en Sport - Farmatec | CIBG - Cluster Beschikkingen

UNION FORMAT FOR A WHOLESALE DISTRIBUTION AUTHORISATION

1. Authorisation Number	:	16475 G
2. Name of Authorisation Holder	:	Broekman Logistics Venlo B.V., VENLO
3. Address(es) of Site(s)	:	Grubbenvorsterweg 10, VENLO, 5928NX, Netherlands

4. Legally registered address of Authorisation Holder	:	Grubbenvorsterweg 10, VENLO, 5928NX, Netherlands
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	:	2020-12-01
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: Broekman Logistics Venlo B.V.

, Grubbenvorsterweg 10, VENLO, 5928NX, Netherlands

1. MEDICINAL PRODUCTS

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

2. AUTHORISED WHOLESALE DISTRIBUTION OPERATIONS

2.2. Holding

Reason for Withdrawing:

withdrawn per 24-12-24

ingetrokken per 24-12-24

Union Format for a Wholesale Distribution Authorisation	16475 G
	Page 1

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