State Institute for Drug Control
UNION FORMAT FOR A WHOLESALE DISTRIBUTION AUTHORISATION
1. Authorisation Number
:
sukls145663/2012
2. Name of Authorisation Holder
HERBANA, s.r.o.
3. Address(es) of Site(s)
Těšínská 231/325, Ostrava - Radvanice a Bartovice, 716 00, Czech Republic
4. Legally registered address of Authorisation Holder
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
2012-08-27
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: HERBANA, s.r.o.
, Těšínská 231/325, Ostrava - Radvanice a Bartovice, 716 00, Czech Republic
1.1. with a Marketing Authorisation in EEA country(s)
2.1. Procurement
2.2. Holding
2.3. Supply
2.4. Export
3.1.3. Immunological medicinal products
3.3. Cold chain products(requiring low temperature handling)
Reason for Withdrawing:
annulment
Union Format for a Wholesale Distribution Authorisation
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