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RTF Template

National Veterinary Medicines Agency

UNION FORMAT FOR A WHOLESALE DISTRIBUTION AUTHORISATION

Veterinary medicinal products

1. Authorisation Number	:	V 336764/23
2. Name of Authorisation Holder	:	Cooperative Veterinaire De L'Ouest (ORG-100034505 / LOC-100054707)
3. Address(es) of Site(s)	:	Parc D'Activite Des Rives De L'Odon, 284 Avenue Du Parc, Verson, 14790, France

4. Legally registered address of Authorisation Holder	:	Zone Industrielle Du Planty, 138 Avenue Louis Pasteur, Montaigu-Vendee, 85600
5. Scope of authorisation (complete for each site under 4)	:	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 wholesaling authorisation	:	Confidential, Confidential
8. Signature	:
9. Date	:	2023-07-25
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: Cooperative Veterinaire De L'Ouest

(ORG-100034505 / LOC-100080230)

, Parc D'Activite Des Rives De L'Odon, 284 Avenue Du Parc, Verson, 14790, France

Veterinary medicinal products

1. MEDICINAL PRODUCTS

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

1.2. without a Marketing Authorisation in the EEA and intended for EEA market

2. AUTHORISED WHOLESALE DISTRIBUTION OPERATIONS

2.1. Procurement

2.2. Holding

2.3. Supply

2.4. Export

3. MEDICINAL PRODUCTS WITH ADDITIONAL REQUIREMENTS

3.1.1. Narcotic or psychotropic products

3.1.3. Immunological medicinal products

3.3. Cold chain products(requiring low temperature handling)

Any restrictions or clarifying remarks (for all users): COOPERATIVE VETERINAIRE DE L'OUEST realises storage of veterinary medicinal products for which COOPERATIVE VETERINAIRE DE L'OUEST is the owner and on behalf of others wholesale distributors of veterinary
medicinal products.

COOPERATIVE VETERINAIRE DE L'OUEST assure le stockage des médicaments vétérinaires pour lequel il est
propriétaire et pour le compte d'autres distributeurs en gros de médicaments

*Art 5 of Directive 2001/83/EC or Art 83 of Regulation EC/726/2004

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

Union Format for a Wholesale Distribution Authorisation	V 336764/23
	Page 1

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