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RTF Template

Staatliches Gewerbeaufsichtsamt Hannover

UNION FORMAT FOR A WHOLESALE DISTRIBUTION AUTHORISATION

Veterinary medicinal products

1. Authorisation Number	:	DE_NI_04_WDA_2023_0015 / 41403-7/34
2. Name of Authorisation Holder	:	Vetrinova GmbH (ORG-100049649 / LOC-100086329)
3. Address(es) of Site(s)	:	Essener Strasse 39a, Luesche, Bakum, Lower Saxony, 49456, Germany

4. Legally registered address of Authorisation Holder	:	Essener Strasse 39a, Luesche, Bakum, Lower Saxony, 49456
5. Scope of authorisation (complete for each site under 4)	:	ANNEX 1
6. Legal basis of authorisation	:	Art. 99 of Regulation (EU) 2019/6 § 18 (1) Tierarzneimittelgesetz
7. Name of responsible officer of the competent authority of the member state granting the wholesaling authorisation	:	Confidential, Confidential
8. Signature	:
9. Date	:	2023-12-20
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: Vetrinova GmbH

(ORG-100049649 / LOC-100086329)

, Essener Strasse 39a, Luesche, Bakum, Lower Saxony, 49456, Germany

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

2.3. Supply

2.5. Other activities(s): drop shipStreckengeschäft

Any restrictions or clarifying remarks (for all users): To 1.2.
Veterinary drugs used in the event of a "therapeutic emergency" in the context of Article 112, 113 and 114 of REGULATION (EU) 2019/6 OF THE EUROPEAN PARLIAMENT

Zu 1.2
Tierarzneimittel, die im Falle des "Therapienotstandes" im Sinne der Art. 112. 113 und 114 EU-TAM-VO eingesetzt werden

*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	DE_NI_04_WDA_2023_0015 / 41403-7/34
	Page 1

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