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RTF Template

Thueringer Landesamt Fuer Verbraucherschutz

UNION FORMAT FOR A WHOLESALE DISTRIBUTION AUTHORISATION

Human medicinal products

1. Authorisation Number	:	DE_TH_01H_WDA_2024_02
2. Name of Authorisation Holder	:	Reha aktiv 2000 GmbH (ORG-100038520 / LOC-100060536)
3. Address(es) of Site(s)	:	Drackendorf-Center 2, Drackendorf, Jena, Thuringia, 07751, Germany

4. Legally registered address of Authorisation Holder	:	Platanenstrasse 2, Lobeda, Jena, Thuringia, 07747
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	:	2024-03-19
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: Reha aktiv 2000 GmbH

(ORG-100038520 / LOC-100064313)

, Drackendorf-Center 2, Drackendorf, Jena, Thuringia, 07751, 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

2.2. Holding

2.3. Supply

3. MEDICINAL PRODUCTS WITH ADDITIONAL REQUIREMENTS

3.2. Medicinal gases

Any restrictions or clarifying remarks (for all users): Ref. 1.1: Skin and hand disinfectants, solutions for infusion in accordance with Sect. 47 (1) no. 2c of the Arzneimittelgesetz (German Drug Law)

Zu 1.1: Haut- und Händedesinfektionsmittel, Infusionslösungen nach § 47 Abs. 1 Nr. 2c Arzneimittelgesetz (AMG), Medizinische Gase

*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_TH_01H_WDA_2024_02
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