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RTF Template

State Food And Veterinary Service

UNION FORMAT FOR A WHOLESALE DISTRIBUTION AUTHORISATION

Veterinary medicinal products

1. Authorisation Number	:	JVF-DP-69
2. Name of Authorisation Holder	:	Vilniaus Tranzitas UAB (ORG-100022158 / LOC-100042163)
3. Address(es) of Site(s)	:	Jurgio Dobkeviciaus G. 7, Vilniaus M. Sav., Vilnius, 02189, Lithuania

4. Legally registered address of Authorisation Holder	:	Jurgio Dobkeviciaus G. 7, Vilniaus M. Sav., Vilnius, 02189, Lithuania
5. Scope of authorisation	:	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 wholesale distribution authorisation	:	Confidential, Confidential
8. Signature	:
9. Date	:	2023-06-12
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: Vilniaus Tranzitas UAB

(ORG-100022158 / LOC-100042163)

, Jurgio Dobkeviciaus G. 7, Vilniaus M. Sav., Vilnius, 02189, Lithuania

Veterinary medicinal products

1. MEDICINAL PRODUCTS

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

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

2. AUTHORISED WHOLESALE DISTRIBUTION OPERATIONS

2.2. Holding

3. MEDICINAL PRODUCTS WITH ADDITIONAL REQUIREMENTS

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	JVF-DP-69
	Page 1

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