Chief Pharmaceutical Inspectorate
UNION FORMAT FOR A WHOLESALE DISTRIBUTION AUTHORISATION
1. Authorisation Number
:
NOH.5100.46.2019.1155.MG.9
2. Name of Authorisation Holder
TARGETFARM s.c. Dariusz Kowalczyk, Mateusz Kruk, Rafał Kwiciński, Tomasz Kołodziej
3. Address(es) of Site(s)
Bielska 78a, Kozy, śląskie, 43-340, Poland
4. Legally registered address of Authorisation Holder
Gliwicka 212, Mikołów, śląskie, 43-190, Poland
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
2019-12-06
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
SCOPE OF WHOLESALE DISTRIBUTION AUTHORISATION
Name and address of the site: Hurtownia farmaceutyczna
, Bielska 78a, Kozy, śląskie, 43-340, Poland
1.1. with a Marketing Authorisation in EEA country(s)
1.2. without a Marketing Authorisation in the EEA and intended for EEA market
2.1. Procurement
2.2. Holding
2.3. Supply
2.4. Export
3.3. Cold chain products(requiring low temperature handling)
3.4. Other products: herbs;goods defined in art. 72 ust. 5 Act of 6 September 2001; ziołaartykuły określone w art. 72 ust. 5 ustawy z dnia 6 września 2001 r.
Reason for Withdrawing:
This WDA authorisation is not valid. It has historical value.
To zezwolenie WDA nie jest ważne. Ma wartość historyczną.
Union Format for a Wholesale Distribution Authorisation
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