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RTF Template

State Office of Health and Social Affairs Berlin

UNION FORMAT FOR A WHOLESALE DISTRIBUTION AUTHORISATION

Human medicinal products

1. Authorisation Number	:	5384/11-canymed GmbH/02
2. Name of Authorisation Holder	:	Canymed GmbH (ORG-100035269 / LOC-100055943)
3. Address(es) of Site(s)	:	Nordkapstrasse 6, Prenzlauer Berg, Berlin, 10439, Germany

4. Legally registered address of Authorisation Holder	:	Nordkapstrasse 6, Prenzlauer Berg, Berlin, 10439
5. Scope of authorisation	:	ANNEX 1
6. Legal basis of authorisation	:	Art. 77(1) of Directive 2001/83/EC
7. Name of responsible officer of the competent authority of the member state granting the wholesale distribution authorisation	:	Confidential, Confidential
8. Signature	:
9. Date	:	2022-02-10
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: Canymed GmbH

(ORG-100035269 / LOC-100055943)

, Nordkapstrasse 6, Prenzlauer Berg, Berlin, 10439, Germany

Human medicinal products

1. MEDICINAL PRODUCTS

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

2. AUTHORISED WHOLESALE DISTRIBUTION OPERATIONS

2.1. Procurement

2.3. Supply

3. MEDICINAL PRODUCTS WITH ADDITIONAL REQUIREMENTS

3.1.1. Narcotic or psychotropic products

Any restrictions or clarifying remarks (for all users): Exclusively wholesale of medicinal cannabis flowers and cannabis extract as bulk.
There is no physical handling of medicinal products on the site.

Ausschließlich Großhandel mit Medizinal-Cannabisblüten und Cannabisextrakten als Bulk.
In der Betriebsstätte erfolgt kein physischer Umgang mit Arzneimitteln.

Union Format for a Wholesale Distribution Authorisation	5384/11-canymed GmbH/02
	Page 1

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