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RTF Template

National Food Chain Safety Office

UNION FORMAT FOR A WHOLESALE DISTRIBUTION AUTHORISATION

Veterinary medicinal products

1. Authorisation Number	:	WDA-HU-V-BOEHR
2. Name of Authorisation Holder	:	Boehringer Ingelheim RCV GmbH & Co. KG Magyarorszagi Fioktelepe (ORG-100011012 / LOC-100057060)
3. Address(es) of Site(s)	:	Akron Utca 1, Budaors, 2040, HUNGARY

4. Legally registered address of Authorisation Holder	:	Lechner Odon Fasor 10, IX Kerulet, Budapest, 1095
5. Scope of authorisation (complete for each site under 4)	:	ANNEX 1
6. Legal basis of authorisation	:	Regulation 128/2009 (X.6.)
7. Name of responsible officer of the competent authority of the member state granting the wholesaling authorisation	:	Confidential, Confidential
8. Signature	:
9. Date	:	2010-10-26
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: UPS Healthcare Hungary Zrt.

(ORG-100011806 / LOC-100018507)

, Akron Utca 1, Budaors, 2040, HUNGARY

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

3.1.3. Immunological medicinal products

3.3. Cold chain products(requiring low temperature handling)

*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	WDA-HU-V-BOEHR
	Page 1

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