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RTF Template

North Rhine Westphalia State Agency for Nature, Environment and Consumer Protection

UNION FORMAT FOR A WHOLESALE DISTRIBUTION AUTHORISATION

Veterinary medicinal products

1. Authorisation Number	:	8.87-40.21.81-GHVE02
2. Name of Authorisation Holder	:	Farm & Stable GmbH & Co. KG (ORG-100044126 / LOC-100072925)
3. Address(es) of Site(s)	:	An Der Hoehe 4b, Marienhagen, Wiehl, North Rhine-Westphalia, 51674, Germany Zum Scherbusch 6a, Marienhagen, Wiehl, North Rhine-Westphalia, 51674, Germany

4. Legally registered address of Authorisation Holder	:	Zum Scherbusch 6a, Marienhagen, Wiehl, North Rhine-Westphalia, 51674
5. Scope of authorisation	:	ANNEX 1
6. Legal basis of authorisation	:	Art. 99 of Regulation (EU) 2019/6
7. Name of responsible officer of the competent authority of the member state granting the wholesale distribution authorisation	:	Confidential, Confidential
8. Signature	:
9. Date	:	2022-09-02
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: Farm & Stable GmbH & Co. KG

(ORG-100044126 / LOC-100073828)

, An Der Hoehe 4b, Marienhagen, Wiehl, North Rhine-Westphalia, 51674, Germany

Veterinary medicinal products

1. MEDICINAL PRODUCTS

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

2. AUTHORISED WHOLESALE DISTRIBUTION OPERATIONS

2.2. Holding

Any restrictions or clarifying remarks (for all users): Products according to Art.34 of VO (EU) 2019/6

The permission is granted for the premises according to the room plan of 26.05.2021.

Arzneimittel entsprechend Art. 34 der Verordnung (EU) 2019/6

Die Erlaubnis wird für die Räumlichkeiten gemäß Raumplan vom 26.05.2021 erteilt.

Name and address of the site: Farm & Stable GmbH & Co. KG

(ORG-100044126 / LOC-100072925)

, Zum Scherbusch 6a, Marienhagen, Wiehl, North Rhine-Westphalia, 51674, Germany

Veterinary 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

Any restrictions or clarifying remarks (for all users): Products according to Art.34 of VO (EU) 2019/6

Arzneimittel entsprechend Art. 34 der Verordnung (EU) 2019/6

Union Format for a Wholesale Distribution Authorisation	8.87-40.21.81-GHVE02
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