1. Authorisation Number

:

146

2. Name of Authorisation Holder

:

ADISONS PHARMACEUTICAL LTD

3. Address(es) of Site(s)

:

GEORGE PETROU LTD, 50 AREOS STREET, LATSIA, NICOSIA, 2234, Cyprus 

4. Legally registered address of Authorisation Holder

:

18 KYRIAKOU MATSI, 2ND FLOOR, ENGOMI, NICOSIA, 2408, Cyprus

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

:

2020-10-07

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: ADISONS PHARMACEUTICAL LTD

, GEORGE PETROU LTD, 50 AREOS STREET, LATSIA, NICOSIA, 2234, Cyprus   

Reason for Withdrawing:

The WDA holder did not submit a renewal application of the WDA, therefore the WDA with Authorisation number 146, is no longer valid.

Union Format for a Wholesale Distribution Authorisation

146

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