Chief Pharmaceutical Inspectorate
UNION FORMAT FOR A WHOLESALE DISTRIBUTION AUTHORISATION
1. Authorisation Number
:
GIF-P-Z-H/1769/02
2. Name of Authorisation Holder
BIALMED Sp. z o.o.
3. Address(es) of Site(s)
Marii Konopnickiej 11A, Biała Piska, warmińsko-mazurskie, 12-230, Poland
4. Legally registered address of Authorisation Holder
Kazimierzowska 46/48 35, Warszawa, mazowieckie, 02-546, Poland
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
2002-07-12
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: BIALMED
, Marii Konopnickiej 11A, Biała Piska, warmińsko-mazurskie, 12-230, Poland
1.1. with a Marketing Authorisation in EEA country(s)
1.2. without a Marketing Authorisation in the EEA and intended for EEA market
2.1. Procurement
2.2. Holding
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: 3.4.1, 3.4.2, 3.4.3, 3.4.4, 3.4.5, 3.4.6, 3.4.7
Reason for Withdrawing:
WDA was revoked.
Zezwolenie zostało wycofane.
Union Format for a Wholesale Distribution Authorisation
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