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RTF Template

State Medicines Control Agency

UNION FORMAT FOR A WHOLESALE DISTRIBUTION AUTHORISATION

Human medicinal products

1. Authorisation Number	:	0879
2. Name of Authorisation Holder	:	UAB "GryNumber Health"
3. Address(es) of Site(s)	:	Mėnulio g. 11-101, Vilniaus m. sav., Vilniaus m., LT-04326, Lithuania

4. Legally registered address of Authorisation Holder	:	Mėnulio g. 11-101, Vilniaus m. sav., Vilniaus m., LT-04326
5. Scope of authorisation (complete for each site under 4)	:	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 wholesaling authorisation	:	Confidential, Confidential
8. Signature	:
9. Date	:	2020-02-28
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: UAB "GryNumber Health"

, Mėnulio g. 11-101, Vilniaus m. sav., Vilniaus m., LT-04326, Lithuania

Human medicinal products

1. MEDICINAL PRODUCTS

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

2. AUTHORISED WHOLESALE DISTRIBUTION OPERATIONS

2.1. Procurement

2.3. Supply

2.4. Export

3. MEDICINAL PRODUCTS WITH ADDITIONAL REQUIREMENTS

3.1.2. Medicinal products derived from blood

3.1.3. Immunological medicinal products

3.3. Cold chain products(requiring low temperature handling)

3.4. Other products: Medicinal products of human or animal origin, biotechnological, herbal medicinal products Žmogaus ar gyvulinės kilmės, biotechnologiniai, augaliniai preparatai

Any restrictions or clarifying remarks (for all users): Agreement on service No. 20140715_PS_22 of 15 July 2014 with UAB „ENTAFARMA", Klonėnų vsd. 1, Širvintų r. sav., Lithuania (Wholesale Distribution Authorisation No. 0105). Wholesale distribution operations performed according to the agreement: reception of medicinal products, holding (storage), collection, and transportation of medicinal products.
/
Agreement on services No. N-4089 of 19 November 2020 with AB "Armila", Molėtų pl. 75, Vilniaus m., Vilniaus m. sav., Lithuania (Wholesale distribution authorisation No. 0125). Wholesale distribution operations performed according to the agreement: reception of medicinal products, holding (storage), collection, and transportation of medicinal products.
/

2014-07-15 paslaugos tiekimo sutartis Nr. 20140715_PS_22 su UAB „ENTAFARMA", Klonėnų vs. 1, Širvintų r. sav. (Didmeninio platinimo licencija Nr. 0105). Pagal sutartį vykdomi didmeninio platinimo veiksmai : vaistinių preparatų priėmimas, laikymas (saugojimas), surinkimas, komplektavimas ir pristatymas gavėjams.
/
2020-11-19 paslaugų sutartis Nr. N-4089 su UAB "Armila", Molėtų pl. 75, Vilniaus m., Vilniaus m. sav. (Didmeninio platinimo licencija Nr. 0125). Pagal sutartį vykdomi didmeninio platinimo veiksmai: vaistinių preparatų priėmimas, laikymas (saugojimas), surinkimas ir transportavimas.

*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	0879
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