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RTF Template

Die Senatorin Fuer Gesundheit Frauen Und Verbraucherschutz

UNION FORMAT FOR A WHOLESALE DISTRIBUTION AUTHORISATION

Human medicinal products

1. Authorisation Number	:	DE_HB_01_WDA_2025_0001
2. Name of Authorisation Holder	:	Alliance Healthcare Deutschland GmbH (ORG-100015186 / LOC-100097534)
3. Address(es) of Site(s)	:	Ingolstaedter Strasse 5, Hohweg, Bremen, 28219, Germany

4. Legally registered address of Authorisation Holder	:	Franklinstrasse 46-48, Bockenheim, Frankfurt Am Main, Hesse, 60486
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	:	2025-06-26
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: Alliance Healthcare Deutschland GmbH

(ORG-100015186 / LOC-100062554)

, Ingolstaedter Strasse 5, Hohweg, Bremen, 28219, 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

3.1.1. Narcotic or psychotropic products

3.1.2. Medicinal products derived from blood

3.1.3. Immunological medicinal products

3.2. Medicinal gases

3.3. Cold chain products(requiring low temperature handling)

Union Format for a Wholesale Distribution Authorisation	DE_HB_01_WDA_2025_0001
	Page 1

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