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RTF Template

Bulgarian Drug Agency

UNION FORMAT FOR A WHOLESALE DISTRIBUTION AUTHORISATION

1. Authorisation Number	:	BG/WDA/MP-0282
2. Name of Authorisation Holder	:	Д енд ФИШЕР ЕООД / D & FISHER LTD
3. Address(es) of Site(s)	:	район Надежда, бул. „Илиенско шосе" № 8, База 8, База М Парк/region Nadejda, 8 Iliensko Shosse blvd., Baza M Park, гр. София /, 1000, Bulgaria

4. Legally registered address of Authorisation Holder	:	ЕИК / UIC: 206101168, район Триадица, ул. „Костенски водопад" № 45, вх. В, ет. 2, ап. 3/region Triaditza, 45 Kostenski vodopad str., vh. B, ap. 3, гр. София / Sofia, 1404, 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	:	2021-07-13
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: Д енд ФИШЕР ЕООД / D & FISHER LTD

, район Надежда, бул. „Илиенско шосе" № 8, База 8, База М Парк/region Nadejda, 8 Iliensko Shosse blvd., Baza M Park, гр. София /, 1000, 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

3. MEDICINAL PRODUCTS WITH ADDITIONAL REQUIREMENTS

3.3. Cold chain products(requiring low temperature handling)

*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-0282
	Page 1

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