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RTF Template

Institute For State Control Of Veterinary Biologicals And Medicaments

UNION FORMAT FOR A WHOLESALE DISTRIBUTION AUTHORISATION

Veterinary medicinal products

1. Authorisation Number	:	086/2005-5000-D
2. Name of Authorisation Holder	:	PHOENIX Zdravotnicke zasobovanie a.s. (ORG-100019671 / LOC-100028427)
3. Address(es) of Site(s)	:	Pribylinska 2 A, Raca, Bratislava, 831 04, Slovakia Lipova 13 And 15, Nesvady, 946 51, Slovakia Presovska Cesta 4, Stare Mesto, Kosice, 040 01, Slovakia Moyzesova 37, Zvolen, 960 01, Slovakia

4. Legally registered address of Authorisation Holder	:	Pribylinska 2 A, Raca, Bratislava, 831 04, SLOVAKIA
5. Scope of authorisation (complete for each site under 4)	:	ANNEX 1
6. Legal basis of authorisation	:	Art. 99 of Regulation (EU) 2019/6
7. Name of responsible officer of the competent authority of the member state granting the wholesaling authorisation	:	Confidential, Confidential
8. Signature	:
9. Date	:	2023-12-29
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: PHOENIX Zdravotnicke zasobovanie a.s.

(ORG-100019671 / LOC-100028427)

, Pribylinska 2 A, Raca, Bratislava, 831 04, Slovakia

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

Name and address of the site: PHOENIX Zdravotnicke zasobovanie a.s.

(ORG-100019671 / LOC-100088617)

, Lipova 13 And 15, Nesvady, 946 51, Slovakia

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

Name and address of the site: PHOENIX Zdravotnicke zasobovanie a.s.

(ORG-100019671 / LOC-100088654)

, Presovska Cesta 4, Stare Mesto, Kosice, 040 01, Slovakia

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

Name and address of the site: PHOENIX Zdravotnicke zasobovanie a.s.

(ORG-100019671 / LOC-100052807)

, Moyzesova 37, Zvolen, 960 01, Slovakia

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

*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	086/2005-5000-D
	Page 1

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