1. Authorisation Number

:

5186 G

2. Name of Authorisation Holder

:

Centrafarm Services B.V.

(ORG-100004950 / LOC-100049865)

3. Address(es) of Site(s)

:

Van De Reijtstraat 31 E, Breda, Noord-Brabant, 4814 NE, Netherlands 

4. Legally registered address of Authorisation Holder

:

Van De Reijtstraat 31 E, Breda, 4814 NE

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

:

2026-05-08

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

Name and address of the site: Centrafarm Services B.V.

(ORG-100004950 / LOC-100049865)

, Van De Reijtstraat 31 E, Breda, Noord-Brabant, 4814 NE, Netherlands   

Human medicinal products

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

Union Format for a Wholesale Distribution Authorisation

5186 G

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