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RTF Template

Freie Und Hansestadt Hamburg Ministry Of Health And Consumer Protection

UNION FORMAT FOR A WHOLESALE DISTRIBUTION AUTHORISATION

Human medicinal products

1. Authorisation Number	:	DE_HH_01_WDA/517-02.13/01,0259
2. Name of Authorisation Holder	:	Deutsche Sinomed GmbH & Co. KG (ORG-100035587 / LOC-100078280)
3. Address(es) of Site(s)	:	Frahmredder 14, Poppenbuettel, Hamburg, 22393, Germany

4. Legally registered address of Authorisation Holder	:	Frahmredder 14, Poppenbuettel, Hamburg, 22393
5. Scope of authorisation	:	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 wholesale distribution authorisation	:	Confidential, Confidential
8. Signature	:
9. Date	:	2022-12-21
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: Deutsche Sinomed GmbH & Co. KG

(ORG-100035587 / LOC-100078280)

, Frahmredder 14, Poppenbuettel, Hamburg, 22393, Germany

Human medicinal products

1. MEDICINAL PRODUCTS

1.3. without a Marketing Authorisation in the EEA and intended for exportation

2. AUTHORISED WHOLESALE DISTRIBUTION OPERATIONS

2.1. Procurement

2.3. Supply

2.4. Export

Any restrictions or clarifying remarks (for all users): ref to 2.: drop shipment only

zu 2.: nur Streckengeschäft

Union Format for a Wholesale Distribution Authorisation	DE_HH_01_WDA/517-02.13/01,0259
	Page 1

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