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RTF Template

Hessian Office For Health And Care

UNION FORMAT FOR A WHOLESALE DISTRIBUTION AUTHORISATION

Human medicinal products

1. Authorisation Number	:	DE_HE_01_WDA_2023_0016
2. Name of Authorisation Holder	:	Andreas Dorschu e.K. (ORG-100039609 / LOC-100096147)
3. Address(es) of Site(s)	:	Offenbacher Weg 44, Laemmerspiel, Muehlheim Am Main, Hesse, 63165, Germany

4. Legally registered address of Authorisation Holder	:	Offenbacher Weg 44, Laemmerspiel, Muehlheim Am Main, Hesse, 63165
5. Scope of authorisation	:	ANNEX 1
6. Legal basis of authorisation	:	Sect 52a para 1 German Medicinal Product Act
7. Name of responsible officer of the competent authority of the member state granting the wholesale distribution authorisation	:	Confidential, Confidential
8. Signature	:
9. Date	:	2025-04-25
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: Andreas Dorschu e.K.

(ORG-100039609 / LOC-100096147)

, Offenbacher Weg 44, Laemmerspiel, Muehlheim Am Main, Hesse, 63165, Germany

Human medicinal products

1. MEDICINAL PRODUCTS

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

2. AUTHORISED WHOLESALE DISTRIBUTION OPERATIONS

2.1. Procurement

2.2. Holding

2.3. Supply

2.5. Other activities(s): (please specify) Supply (only) by drop shipmentStreckengeschäfte

Any restrictions or clarifying remarks (for all users): Supply (only) by drop shipment

The original, paper based WDA contains under
3.2 Medicinal gases

Handel erfolgt (teilweise) im Streckengeschäft

Die originale, papierbasierte GHE enthält unter
3.2 Medizinische Gase

Union Format for a Wholesale Distribution Authorisation	DE_HE_01_WDA_2023_0016
	Page 1

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