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RTF Template

National Veterinary Medicines Agency

UNION FORMAT FOR A WHOLESALE DISTRIBUTION AUTHORISATION

Veterinary medicinal products

1. Authorisation Number	:	V 181724/17
2. Name of Authorisation Holder	:	Boehringer Ingelheim Animal Health France (ORG-100006765 / LOC-100010467)
3. Address(es) of Site(s)	:	29 Avenue Tony Garnier, Lyon, 69007, France

4. Legally registered address of Authorisation Holder	:	29 Avenue Tony Garnier, Lyon, 69007, France
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	:	2024-08-09
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: Boehringer Ingelheim Animal Health France

(ORG-100006765 / LOC-100010467)

, 29 Avenue Tony Garnier, Lyon, 69007, France

Veterinary medicinal products

1. MEDICINAL PRODUCTS

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

1.2. without a Marketing Authorisation in the EEA and intended for EEA market

1.3. without a Marketing Authorisation in the EEA and intended for exportation

2. AUTHORISED WHOLESALE DISTRIBUTION OPERATIONS

2.1. Procurement

2.3. Supply

2.4. Export

2.5. Other activities(s): responsible for marketing authorisation, advertising, inf, pharmaco, follow-up and product recallresponsable de la mise sur le marché, pub, info, pharmacovigilance, suivi et retrait des lots

Any restrictions or clarifying remarks (for all users): Veterinary medicinal products distributed are only those for which BOEHRINGER INGELHEIM ANIMAL HEALTH FRANCE is the marketing authorisation holder or responsible for marketing authorisation under Article 58 of Regulation (EU) 2019/6. Storage operations are carried out within the sites :
- CENTRE SPECIALITES PHARMACEUTIQUES situé 3 AVENUE DES 22 ARPENTS (CF16), QUARTIER D'ACTIVITE LA BAROGNE, 77230 MOUSSY LE NEUF
- SERVIPHAR, PARC D'ACTIVITES DU HAUT MONTIGNE, 616 RUE DU PONT SAMOUAL, 35370 TORCE
- BOEHRINGER INGELHEIM ANIMAL HEALTH FRANCE, 16 LOUIS PASTEUR, 44119 TREILLIERES
- BOEHRINGER INGELHEIM ANIMAL HEALTH FRANCE, 1 CHEMIN DE CRUZOLS, 69210 LENTILLY

Les
médicaments vétérinaires distribués sont uniquement ceux pour lesquels BOEHRINGER INGELHEIM ANIMAL
HEALTH France est titulaire de l'autorisation de mise sur le marché ou responsable de la mise sur le marché au
titre de l'article 58 du règlement (EU) 2019/6. Les opérations de stockage sont réalisées au sein des
établissements :
- CENTRE SPECIALITES PHARMACEUTIQUES situé 3 AVENUE DES 22 ARPENTS (CF16),
QUARTIER D'ACTIVITE LA BAROGNE, 77230 MOUSSY LE NEUF
- SERVIPHAR, PARC D'ACTIVITES DU HAUT MONTIGNE, 616 RUE DU PONT SAMOUAL,
35370 TORCE
- BOEHRINGER INGELHEIM ANIMAL HEALTH FRANCE, 16 RUE LOUIS PASTEUR,
44119 TREILLIERES
- BOEHRINGER INGELHEIM ANIMAL HEALTH FRANCE, 1 CHEMIN DE CRUZOLS,
69210 LENTILLY
Docusign Envelope ID: F3EC6ED0-1882-419F-A48F-6610548C53E3

*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	V 181724/17
	Page 1

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