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RTF Template

Directorate General For Food And Veterinary

UNION FORMAT FOR A WHOLESALE DISTRIBUTION AUTHORISATION

Veterinary medicinal products

1. Authorisation Number	:	39/ADG/MV/OL/2009 DGAV
2. Name of Authorisation Holder	:	Propec Farmaceutica Lda. (ORG-100030819 / LOC-100088731)
3. Address(es) of Site(s)	:	Avenida Bufo Real N. 1065, Zona Industrial De Porto De Mos, Porto De Mos, 2480-407, Portugal

4. Legally registered address of Authorisation Holder	:	Avenida Bufo Real N. 1065, Zona Industrial De Porto De Mos, Porto De Mos, 2480-407, Portugal
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	:	2023-01-04
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: Propec Farmaceutica Lda.

(ORG-100030819 / LOC-100088731)

, Avenida Bufo Real N. 1065, Zona Industrial De Porto De Mos, Porto De Mos, 2480-407, Portugal

Veterinary medicinal products

2. AUTHORISED WHOLESALE DISTRIBUTION OPERATIONS

2.1. Procurement

2.2. Holding

2.3. Supply

2.4. Export

Union Format for a Wholesale Distribution Authorisation	39/ADG/MV/OL/2009 DGAV
	Page 1

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