The Chief Pharmaceutical Inspectorate
UNION FORMAT FOR A WHOLESALE DISTRIBUTION AUTHORISATION
1. Authorisation Number
:
GIF-N-411/35/PŁ/11
2. Name of Authorisation Holder
AIR LIQUIDE Polska Sp. z o.o.
3. Address(es) of Site(s)
Marszałka Józefa Piłsudkiego 92, Dąbrowa Górnicza, śląskie, 41-308, Poland
4. Legally registered address of Authorisation Holder
Jasnogórska 9, Kraków, małopolskie, 31-358, 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
2011-02-09
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: Hurtownia farmaceutyczna
, Marszałka Józefa Piłsudkiego 92, Dąbrowa Górnicza, śląskie, 41-308, Poland
1.1. with a Marketing Authorisation in EEA country(s)
2.1. Procurement
2.2. Holding
3.2. Medicinal gases
Any restrictions or clarifying remarks (for all users): Obrót hurtowy gazami medycznymi.
Reason for Withdrawing:
WDA was withdrawn at the entrepreneur's request.
Zezwolenie zostało wycofane na wniosek przedsiębiorcy.
Union Format for a Wholesale Distribution Authorisation
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