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RTF Template

Medicines and Healthcare Products Regulatory Agency

UNION FORMAT FOR A WHOLESALE DISTRIBUTION AUTHORISATION

1. Authorisation Number	:	UK WDA(H) 40921
2. Name of Authorisation Holder	:	CLEAR HEALTHCARE
3. Address(es) of Site(s)	:	12 HIGH STREET, LURGAN, CRAIGAVON, BT66 8AW, United Kingdom 21 BRIDGE STREET, BANBRIDGE, BT32 3JL, United Kingdom 38 MAIN STREET, DONAGHCLONEY, CRAIGAVON, BT66 7LR, United Kingdom 45 MAIN STREET, WARINGSTOWN, CRAIGAVON, BT66 7QH, United Kingdom

4. Legally registered address of Authorisation Holder	:	BLOCK D, 17 HERON ROAD, BELFAST, BT3 9LE, United Kingdom
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	:	2018-07-20
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: CLEAR PHARMACY (LURGAN PHARMACY)

, 12 HIGH STREET, LURGAN, CRAIGAVON, BT66 8AW, United Kingdom

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

Any restrictions or clarifying remarks (for all users): 4 Categories of Products Handled at this Site: 4.1 Prescription Only Medicines, 4.2 General Sales List, 4.4 Pharmacy

Name and address of the site: CLEAR PHARMACY (BANBRIDGE)

, 21 BRIDGE STREET, BANBRIDGE, BT32 3JL, United Kingdom

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

Any restrictions or clarifying remarks (for all users): 4 Categories of Products Handled at this Site: 4.1 Prescription Only Medicines, 4.2 General Sales List, 4.4 Pharmacy

Name and address of the site: CLEAR HEALTHCARE

, 38 MAIN STREET, DONAGHCLONEY, CRAIGAVON, BT66 7LR, United Kingdom

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

Any restrictions or clarifying remarks (for all users): 4 Categories of Products Handled at this Site: 4.1 Prescription Only Medicines, 4.2 General Sales List, 4.4 Pharmacy

Name and address of the site: CLEAR PHARMACY (WARINGSTOWN)

, 45 MAIN STREET, WARINGSTOWN, CRAIGAVON, BT66 7QH, United Kingdom

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

Any restrictions or clarifying remarks (for all users): 4 Categories of Products Handled at this Site: 4.1 Prescription Only Medicines, 4.2 General Sales List, 4.4 Pharmacy

*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	UK WDA(H) 40921
	Page 1

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