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RTF Template

Landesamt Fuer Soziales Jugend Und Versorgung

UNION FORMAT FOR A WHOLESALE DISTRIBUTION AUTHORISATION

Human medicinal products

1. Authorisation Number	:	DE_RP_01_WDA_2026/3112-0191/20260224
2. Name of Authorisation Holder	:	pharmarissano Arzneimittel GmbH (ORG-100005322 / LOC-100007858)
3. Address(es) of Site(s)	:	Haldenweg 5a, Bockenheim An Der Weinstrasse, Rhineland-Palatinate, 67278, Germany

4. Legally registered address of Authorisation Holder	:	Haldenweg 5a, Bockenheim An Der Weinstrasse, Rhineland-Palatinate, 67278
5. Scope of authorisation	:	ANNEX 1
6. Legal basis of authorisation	:	Art. 77(1) of Directive 2001/83/EC
7. Name of responsible officer of the competent authority of the member state granting the wholesale distribution authorisation	:	Confidential, Confidential
8. Signature	:
9. Date	:	2026-02-24
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: pharmarissano Arzneimittel GmbH

(ORG-100005322 / LOC-100007858)

, Haldenweg 5a, Bockenheim An Der Weinstrasse, Rhineland-Palatinate, 67278, Germany

Human medicinal products

1. MEDICINAL PRODUCTS

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

2. AUTHORISED WHOLESALE DISTRIBUTION OPERATIONS

2.5. Other activities(s): (please specify) Wholesale distribution is conducted exclusively as a drop shipment.Der Großhandel wird ausschließlich als Streckengeschäft durchgeführt.

Any restrictions or clarifying remarks (for all users): Archiving of documents is additionally carried out in Riedstrasse 8 in 55129 Mainz.

Die Archivierung der Dokumente erfolgt zusätzlich in der Riedstraße 8 in 55129 Mainz.

Union Format for a Wholesale Distribution Authorisation	DE_RP_01_WDA_2026/3112-0191/20260224
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