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RTF Template

Austrian Agency For Health And Food Safety

UNION FORMAT FOR A WHOLESALE DISTRIBUTION AUTHORISATION

Veterinary medicinal products

1. Authorisation Number	:	480912
2. Name of Authorisation Holder	:	Intervet Ges.m.b.H. (ORG-100012219 / LOC-100019073)
3. Address(es) of Site(s)	:	Siemensstrasse 107, Vienna, 1210, Austria

4. Legally registered address of Authorisation Holder	:	Siemensstrasse 107, Vienna, 1210
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	:	2000-08-02
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: Intervet Ges.m.b.H.

(ORG-100012219 / LOC-100019073)

, Siemensstrasse 107, Vienna, 1210, Austria

Veterinary medicinal products

1. MEDICINAL PRODUCTS

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

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

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): Intervet Ges.m.b.H.; Keine / None

Intervet Ges.m.b.H.; Keine / None

Union Format for a Wholesale Distribution Authorisation	480912
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