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RTF Template


Bezirksregierung Düsseldorf

UNION FORMAT FOR A WHOLESALE DISTRIBUTION AUTHORISATION

Human medicinal products


1. Authorisation Number

:

DE_NW_03_WDA_2022_0010/  24.05.05.01-ACUmed

2. Name of Authorisation Holder

:

Acumed Medizintechnik And Praxisbedarf Inh. Volker Neumann

(ORG-100034622 / LOC-100072860)

3. Address(es) of Site(s)

:

Wupperstraße 40, Lennep, Remscheid, North Rhine-Westphalia, 42897, Germany 




4. Legally registered address of Authorisation Holder

:

Wupperstraße 40, Lennep, Remscheid, North Rhine-Westphalia, 42897

5. Scope of authorisation (complete for each site under 4)

:

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 wholesaling authorisation

:

Confidential, Confidential

8. Signature

:


9. Date

:

2022-05-30

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: Acumed Medizintechnik And Praxisbedarf Inh. Volker Neumann

(ORG-100034622 / LOC-100072860)

, Wupperstraße 40, Lennep, Remscheid, North Rhine-Westphalia, 42897, 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 

   2.2. Holding 

   2.3. Supply 



Any restrictions or clarifying remarks (for all users):  The licence is granted with the restriction that only the procurement, storage and supply of skin and hand disinfectants and (infusion) solutions is permitted in the above mentioned site.

Die Erlaubnis wird mit der Einschränkung erteilt, dass ausschließlich die Beschaffung, Lagerung und Lieferung von Haut- und Händedesinfektionsmitteln und (Infusions-)lösungen in der oben genannten Betriebsstätte erlaubt ist.



*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_NW_03_WDA_2022_0010/  24.05.05.01-ACUmed


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