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RTF Template

Bezirksregierung Muenster

UNION FORMAT FOR A WHOLESALE DISTRIBUTION AUTHORISATION

Human medicinal products

1. Authorisation Number	:	DE_NW_05_WDA_2024_0004/24.05.03-312
2. Name of Authorisation Holder	:	Centramed Medizintechnik Handelsgesellschaft mbH & Co. KG (ORG-100035294 / LOC-100088144)
3. Address(es) of Site(s)	:	Ostdamm 135 A, Duelmen, North Rhine-Westphalia, 48249, Germany

4. Legally registered address of Authorisation Holder	:	Ostdamm 135 A, Duelmen, North Rhine-Westphalia, 48249
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	:	2024-03-01
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: Centramed Medizintechnik Handelsgesellschaft mbH & Co. KG

(ORG-100035294 / LOC-100088144)

, Ostdamm 135 A, Duelmen, North Rhine-Westphalia, 48249, Germany

Human medicinal products

1. MEDICINAL PRODUCTS

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

2. AUTHORISED WHOLESALE DISTRIBUTION OPERATIONS

2.1. Procurement

2.3. Supply

3. MEDICINAL PRODUCTS WITH ADDITIONAL REQUIREMENTS

3.2. Medicinal gases

Any restrictions or clarifying remarks (for all users): The range of drugs is limited to: Disinfectants, infusion solutions in accordance with § 47 Para. 1 No. 2 c AMG, medical oxygen in pressurized gas cylinders
regarding points 2.1 and 2.3: Trade is exclusively drop shipment (trade without storage)

Das Arzneimittelsortiment ist beschränkt auf: Desinfektionsmittel, Infusionslösungen nach § 47 Abs. 1 Nr. 2 c AMG, medizinischer Sauerstoff in Druckgasflaschen
zu Pkt. 2.1 und 2.3: Handel erfolgt ausschließlich als Streckengeschäft (Handel ohne Lagerung)

Union Format for a Wholesale Distribution Authorisation	DE_NW_05_WDA_2024_0004/24.05.03-312
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