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RTF Template

Regierung Von Oberbayern

UNION FORMAT FOR A WHOLESALE DISTRIBUTION AUTHORISATION

Veterinary medicinal products

1. Authorisation Number	:	ROB-55Ph-2677.Ph_2-277-40
2. Name of Authorisation Holder	:	Selectavet Dr. Otto Fischer GmbH (ORG-100021034 / LOC-100029747)
3. Address(es) of Site(s)	:	Am Koegelberg 5, Holzolling, Weyarn, Bavaria, 83629, GERMANY

4. Legally registered address of Authorisation Holder	:	Am Koegelberg 5, Holzolling, Weyarn, Bavaria, 83629
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	:	2023-10-16
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: Selectavet Dr. Otto Fischer GmbH

(ORG-100021034 / LOC-100029747)

, Am Koegelberg 5, Holzolling, Weyarn, Bavaria, 83629, GERMANY

Veterinary medicinal products

1. MEDICINAL PRODUCTS

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

2. AUTHORISED WHOLESALE DISTRIBUTION OPERATIONS

2.1. Procurement

2.2. Holding

2.3. Supply

3. MEDICINAL PRODUCTS WITH ADDITIONAL REQUIREMENTS

3.3. Cold chain products(requiring low temperature handling)

3.4. Other products: Medicinal products for food veterinary medicinal products, prescription-only veterinary medicinal products, to 3.3: only the cold chain vet. med. product: Fatrovax RHD (Fatro S.p.A.Italy)

*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	ROB-55Ph-2677.Ph_2-277-40
	Page 1

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