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Information Messages

The WDA has been withdrawn, withdrawn date is: 2025-06-03

RTF Template

Chief Pharmaceutical Inspectorate

UNION FORMAT FOR A WHOLESALE DISTRIBUTION AUTHORISATION

1. Authorisation Number	:	GIF-P-Z-H/1800/02
2. Name of Authorisation Holder	:	POLFA S.A. w upadłości układowej
3. Address(es) of Site(s)	:	Tysiąclecia 6, Ciechanów, mazowieckie, 06-400, Poland

4. Legally registered address of Authorisation Holder	:	Marii Konopnickiej 6, Warszawa, MAZOWIECKIE, 00-491, 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	:	2002-12-31
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: Hurtownia farmaceutyczna

, Tysiąclecia 6, Ciechanów, mazowieckie, 06-400, Poland

1. MEDICINAL PRODUCTS

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

1.2. without a Marketing Authorisation in the EEA and intended for EEA market

1.3. without a Marketing Authorisation in the EEA and intended for exportation

2. AUTHORISED WHOLESALE DISTRIBUTION OPERATIONS

2.1. Procurement

2.2. Holding

2.4. Export

3. MEDICINAL PRODUCTS WITH ADDITIONAL REQUIREMENTS

3.4. Other products: 3.4.1, 3.4.6

Reason for Withdrawing:

decyzja cofająca zezwolenie z dnia 5 marca 2025 r. znak: PHW.5101.1.2022.BZ.3 prawomocna i ostateczna od dnia 3.04.2025 r.

Union Format for a Wholesale Distribution Authorisation	GIF-P-Z-H/1800/02
	Page 1

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