1. Authorisation Number

:

DE_ST_01_WDA_2021_003

2. Name of Authorisation Holder

:

Sandy Spengler, Transporte, Gase & Gartengeräte-Service

3. Address(es) of Site(s)

:

Alte Schäferei 2, Schkopau, 06258, Germany 

4. Legally registered address of Authorisation Holder

:

Alte Schäferei 2, Schkopau, 06258, Germany

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

:

2021-05-26

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: Sandy Spengler, Transporte, Gase & Gartengeräte-Service

, Alte Schäferei 2, Schkopau, 06258, Germany   

Any restrictions or clarifying remarks (for all users):  - National legal basis of authorisation: Section 52a (1) German Drug Law (Arzneimittelgesetz - AMG),
- ref. 1.1: only medicinal gases,
- wholesale activities in the premises according to the present site plan Nr. 1 from 26.05.2021.

- Nationale Rechtsgrundlage für die Erlaubnis: § 52a (1) Arzneimittelgesetz (AMG),
- zu 1.1: nur medizinische Gase,
- Großhandelsaktivitäten in den Räumen gemäß dem genehmigten Lageplan Nr. 1 vom 26.05.2021.

*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

DE_ST_01_WDA_2021_003

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