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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-SZEKELY
2. Name of Authorisation Holder	:	Dr. Szekely Kft. (ORG-100039434 / LOC-100066662)
3. Address(es) of Site(s)	:	Kakukkfu Utca 7, Erd, 2030, HUNGARY

4. Legally registered address of Authorisation Holder	:	Boszormenyi Ut 13-15, Budapest XII, 1126
5. Scope of authorisation (complete for each site under 4)	:	ANNEX 1
6. Legal basis of authorisation	:	88/2004 (V.15.) Regulation
7. Name of responsible officer of the competent authority of the member state granting the wholesaling authorisation	:	Confidential, Confidential
8. Signature	:
9. Date	:	2005-06-30
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: Dr. Szekely Kft.

(ORG-100039434 / LOC-100062091)

, Kakukkfu Utca 7, Erd, 2030, HUNGARY

Veterinary medicinal products

2. AUTHORISED WHOLESALE DISTRIBUTION OPERATIONS

2.1. Procurement

2.2. Holding

2.3. Supply

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)

*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-SZEKELY
	Page 1

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