1. Authorisation Number
|
:
|
114 H
|
2. Name of Authorisation Holder
|
:
|
Pharmacies Populaires De Verviers Et Arrondissement
(ORG-100016067 / LOC-100079504)
|
2.a. Alternative name of authorisation holder (optional)
|
:
|
Pharmacies Populaires De Verviers Et Arrondissement S.C.
|
3. Address(es) of Site(s)
|
:
|
Rue De L Avenir 12, Thimister-Clermont, 4890, Belgium
|
|
|
|
4. Legally registered address of Authorisation Holder
|
:
|
Rue De L'Avenir 12, Thimister-Clermont, Liege, 4890
|
4.a. Additional details on units inspected of registrant's legal address (optional)
|
:
|
PPVA
|
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
|
:
|
2026-09-01
|
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
|