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RTF Template

Gobierno De La Comunidad De Madrid

UNION FORMAT FOR A WHOLESALE DISTRIBUTION AUTHORISATION

Human medicinal products and Veterinary medicinal products

1. Authorisation Number	:	0021MAD
2. Name of Authorisation Holder	:	Distribucion Farmacosanitaria Gestion S.L. (ORG-100025598 / LOC-100034828)
3. Address(es) of Site(s)	:	Avenida De Andalucia Km 10.500 Edificio II Nave 15, Poligono Industrial Neisa Sur, Madrid, 28021, Spain

4. Legally registered address of Authorisation Holder	:	Avenida De Andalucia Km 10.500 Edificio II Nave 15, Poligono Industrial Neisa Sur, Madrid, 28021
5. Scope of authorisation	:	ANNEX 1
6. Legal basis of authorisation	:	Real Decreto 782/2013, de 11 de octubre
7. Name of responsible officer of the competent authority of the member state granting the wholesale distribution authorisation	:	Confidential, Confidential
8. Signature	:
9. Date	:	2025-03-26
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: Distribucion Farmacosanitaria Gestion S.L.

(ORG-100025598 / LOC-100034828)

, Avenida De Andalucia Km 10.500 Edificio II Nave 15, Poligono Industrial Neisa Sur, Madrid, 28021, Spain

Human medicinal products

Veterinary medicinal products

1. MEDICINAL PRODUCTS

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

2. AUTHORISED WHOLESALE DISTRIBUTION OPERATIONS

2.1. Procurement

2.2. Holding

2.3. Supply

3. MEDICINAL PRODUCTS WITH ADDITIONAL REQUIREMENTS

3.1. Narcotic or psychotropic products**

**Without prejudice to further authorisations as may be required according to national legislation.

Union Format for a Wholesale Distribution Authorisation	0021MAD
	Page 1

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