1. Authorisation Number

:

DE_NI_05_WDA_2023_0059

2. Name of Authorisation Holder

:

Cosmas-Apotheke Inh. Henning Schuenemann e.Kfm.

(ORG-100048963 / LOC-100082076)

3. Address(es) of Site(s)

:

Lange Strasse 10, Barssel, Lower Saxony, 26676, Germany 

4. Legally registered address of Authorisation Holder

:

Lange Strasse 10, Barssel, Lower Saxony, 26676

4.a. Additional details on units inspected of registrant's legal address (optional)

:

The address of the licensee's place of business in Germany is:
Wholesale Cosmas Pharmacy, Lange Straße 10, 26676 Barßel.
Die Anschrift der Betriebsstätte des Erlaubnisinhabers in Deutschland lautet:
Großhandel der Cosmas-Apotheke, Lange Straße 10, 26676 Barßel.

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

:

2023-07-10

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

Name and address of the site: Cosmas-Apotheke Inh. Henning Schuenemann e.Kfm.

(ORG-100048963 / LOC-100082076)

, Lange Strasse 10, Barssel, Lower Saxony, 26676, Germany   

Human medicinal products

Any restrictions or clarifying remarks (for all users):  The permit is valid for the operating space indicated with the date of January 27, 2022 (according to the space plan).

Die Erlaubnis gilt für den mit Datum vom 27. Januar 2022 (gemäß Raumplan) angezeigten Betriebsraum.

Union Format for a Wholesale Distribution Authorisation

DE_NI_05_WDA_2023_0059

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