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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

:

83/ADG/MUV/OL/2011 DGV

2. Name of Authorisation Holder

:

Distrifarma-Companhia De Distribuicao Farmaceutica S.A.

(ORG-100021469 / LOC-100037894)

3. Address(es) of Site(s)

:

Condominio Industrial Queluz Park, Estrada Consiglieri Pedroso N 80 Lote 3, Armazem 1 3 5 E 12 Queluz De Baixo, Oeiras, 2730-054, Portugal 




4. Legally registered address of Authorisation Holder

:

Condominio Industrial Queluz Park, Estrada Consiglieri Pedroso N 80 Lote 3, Armazem 1 3 5 E 12 Queluz De Baixo, Oeiras, 2730-054, 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

:

2023-01-11

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: Distrifarma-Companhia De Distribuicao Farmaceutica S.A.

(ORG-100021469 / LOC-100037894)

, Condominio Industrial Queluz Park, Estrada Consiglieri Pedroso N 80 Lote 3, Armazem 1 3 5 E 12 Queluz De Baixo, Oeiras, 2730-054, Portugal   



Veterinary medicinal products


2. AUTHORISED WHOLESALE DISTRIBUTION OPERATIONS

   2.1. Procurement 

   2.2. Holding 

   2.3. Supply 

   2.4. Export 



Any restrictions or clarifying remarks (for all users):  - Room temperature
- Cold chain (2-8ºC)















Union Format for a Wholesale Distribution Authorisation

83/ADG/MUV/OL/2011 DGV


Page 1





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