State Institute for Drug Control
UNION FORMAT FOR A WHOLESALE DISTRIBUTION AUTHORISATION
1. Authorisation Number
:
sukls75417/2009
2. Name of Authorisation Holder
IPC Pharmaservices, s.r.o.
3. Address(es) of Site(s)
warehouse is in Interpharmac, s.r.o.,Libišany 141, Opatovice nad Labem, 533 45, Czech Republic
4. Legally registered address of Authorisation Holder
ČSA 543, Hradec Králové, 500 03, Czech Republic
5. Scope of authorisation
ANNEX 1
6. Legal basis of authorisation
7. Name of responsible officer of the competent authority of the member state granting the wholesale distribution authorisation
Confidential, Confidential
8. Signature
9. Date
2009-05-14
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
SCOPE OF WHOLESALE DISTRIBUTION AUTHORISATION
Name and address of the site: IPC Pharmaservices, s.r.o.
, warehouse is in Interpharmac, s.r.o.,Libišany 141, Opatovice nad Labem, 533 45, Czech Republic
1.1. with a Marketing Authorisation in EEA country(s)
2.1. Procurement
2.2. Holding
2.3. Supply
3.3. Cold chain products(requiring low temperature handling)
Reason for Withdrawing:
annulment
Union Format for a Wholesale Distribution Authorisation
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