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RTF Template

Landesdirektion Sachsen

UNION FORMAT FOR A WHOLESALE DISTRIBUTION AUTHORISATION

1. Authorisation Number	:	DE_SN_01/L24-5117/68
2. Name of Authorisation Holder	:	Marlies Weinert
3. Address(es) of Site(s)	:	Jacobsplatz 18, Wurzen, 04808, Germany

4. Legally registered address of Authorisation Holder	:	Jacobsplatz 18, Wurzen, 04808, Germany
5. Scope of authorisation (complete for each site under 4)	:	ANNEX 1
6. Legal basis of authorisation	:
7. Name of responsible officer of the competent authority of the member state granting the wholesaling authorisation	:	Confidential, Confidential
8. Signature	:
9. Date	:	2014-07-04
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: Marlies Weinert Medizin- & Rehatechnik

, Jacobsplatz 18, Wurzen, 04808, Germany

1. MEDICINAL PRODUCTS

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

2. AUTHORISED WHOLESALE DISTRIBUTION OPERATIONS

2.1. Procurement

2.2. Holding

2.3. Supply

2.4. Export

Any restrictions or clarifying remarks (for all users): This authorisation is limited to disinfectants and infusion solutions in containers of at least 500 ml intended for the replacement or
the correction of body fluid.

Diese Erlaubnis gilt nur für den Großhandel mit Desinfektionsmitteln und Infusionslösungen ab 500 ml, die zum Ersatz oder zur Korrektur von Körperflüssigkeit bestimmt sind.

*Art 5 of Directive 2001/83/EC or Art 83 of Regulation EC/726/2004

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

Union Format for a Wholesale Distribution Authorisation	DE_SN_01/L24-5117/68
	Page 1

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