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RTF Template


Health Products Regulatory Authority

UNION FORMAT FOR A WHOLESALE DISTRIBUTION AUTHORISATION

Human medicinal products


1. Authorisation Number

:

W00373/00001

2. Name of Authorisation Holder

:

Kintetsu World Express (Ireland) Limited

(ORG-100019824 / LOC-100028567)

3. Address(es) of Site(s)

:

Unit 4, Horizon Logistics Park, New Naul Road, Harristown, Swords, K67 V992, Ireland 




4. Legally registered address of Authorisation Holder

:

Unit 4, Horizon Logistics Park, New Naul Road, Harristown, Swords, K67 V992

5. Scope of authorisation (complete for each site under 4)

:

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 wholesaling authorisation

:

Confidential, Confidential

8. Signature

:


9. Date

:

2013-12-11

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: Kintetsu World Express (Ireland) Limited

(ORG-100019824 / LOC-100028567)

, Unit 4, Horizon Logistics Park, New Naul Road, Harristown, Swords, K67 V992, Ireland   



Human medicinal products


1. MEDICINAL PRODUCTS

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

   1.3. without a Marketing Authorisation in the EEA and intended for exportation


2. AUTHORISED WHOLESALE DISTRIBUTION OPERATIONS

   2.2. Holding 

   2.4. Export 


3. MEDICINAL PRODUCTS WITH ADDITIONAL REQUIREMENTS

   3.4. Other products: Please see restrictions or clarifying remarks (for all users).




Any restrictions or clarifying remarks (for all users):  3.4.1 Prescription only medicinal products3.4.4 Unauthorised medicinal products



*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

W00373/00001


Page 1





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