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RTF Template

Junta De Comunidades De Castilla La Mancha

UNION FORMAT FOR A WHOLESALE DISTRIBUTION AUTHORISATION

Veterinary medicinal products

1. Authorisation Number	:	0001-CLMVET
2. Name of Authorisation Holder	:	Proyma Ganadera S.L. (ORG-100051567 / LOC-100090515)
3. Address(es) of Site(s)	:	Avenida Tecnologia 5, Poligono Industrial Alces, Alcazar De San Juan, 13600, Spain

4. Legally registered address of Authorisation Holder	:	Avenida Tecnologia 5, Poligono Industrial Alces, Alcazar De San Juan, 13600
5. Scope of authorisation (complete for each site under 4)	:	ANNEX 1
6. Legal basis of authorisation	:	Art. 99 of Regulation (EU) 2019/6 Real Decreto Legislativo 1/2015, de 24 de julio
7. Name of responsible officer of the competent authority of the member state granting the wholesaling authorisation	:	Confidential, Confidential
8. Signature	:
9. Date	:	2024-03-06
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: Proyma Ganadera S.L.

(ORG-100051567 / LOC-100090515)

, Avenida Tecnologia 5, Poligono Industrial Alces, Alcazar De San Juan, 13600, Spain

Veterinary medicinal products

1. MEDICINAL PRODUCTS

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

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

Any restrictions or clarifying remarks (for all users): 3.1.1: Sólo almacena Psicótropos.

3.1.1: Sólo almacena Psicótropos.

*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	0001-CLMVET
	Page 1

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