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RTF Template

State Agency Of Medicines

UNION FORMAT FOR A WHOLESALE DISTRIBUTION AUTHORISATION

Human medicinal products

1. Authorisation Number	:	L00147
2. Name of Authorisation Holder	:	MultiFarma SIA (ORG-100052025 / LOC-100091517)
3. Address(es) of Site(s)	:	Ventspils Iela 63b, Riga, 1046, Latvia

4. Legally registered address of Authorisation Holder	:	Ventspils Iela 63b, Riga, 1046
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	:	2025-08-06
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: MultiFarma SIA

(ORG-100052025 / LOC-100091517)

, Ventspils Iela 63b, Riga, 1046, Latvia

Human medicinal products

1. MEDICINAL PRODUCTS

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

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

2. AUTHORISED WHOLESALE DISTRIBUTION OPERATIONS

2.1. Procurement

2.2. Holding

2.3. Supply

2.4. Export

3. MEDICINAL PRODUCTS WITH ADDITIONAL REQUIREMENTS

3.1. Narcotic or psychotropic products**

3.2. Products requiring low temperature handling

3.2.1. Temperatures between 2 to 8 °C

Any restrictions or clarifying remarks (for all users): Annex 1 Paragraph 3.2. – except psychotropic medicinal products and substances, narcotic and equivalent thereto psychotropic medicinal products and substances.

3.1 narcotic or psychotropic products: psychotropic medicinal products, psychotropic substances, narcotic and equivalent thereto psychotropic medicinal products, narcotic and equivalent thereto psychotropic substances

**Without prejudice to further authorisations as may be required according to national legislation.

Union Format for a Wholesale Distribution Authorisation	L00147
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