Chief Pharmaceutical Inspectorate
UNION FORMAT FOR A WHOLESALE DISTRIBUTION AUTHORISATION
1. Authorisation Number
:
GIF-P-Z-4301-156/TP/03
2. Name of Authorisation Holder
MONIKA - Monika Borycka Hurtownia Farmaceutyczna
3. Address(es) of Site(s)
Struga 3, Szczecin, zachodniopomorskie, 70-784, Poland
4. Legally registered address of Authorisation Holder
Bukowa 10, Police, zachodniopomorskie, 72-010, 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
2004-05-21
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: MONIKA
, Struga 3, Szczecin, zachodniopomorskie, 70-784, Poland
1.1. with a Marketing Authorisation in EEA country(s)
2.1. Procurement
2.2. Holding
3.4. Other products: 3.4.6
Any restrictions or clarifying remarks (for all users): Obrót hurtowy produktami leczniczymi dopuszczonymi do obrotu w placówkach obrotu pozaaptecznego - OTC, nie wymagającymi specjalnych warunków przechowywania.
Reason for Withdrawing:
This MIA is no longer valid. It has been withrawn by the decison of competent authority.
To zezwolenie nie jest już aktualne. Zostało wycofane decyzją organu kompetentnego.
Union Format for a Wholesale Distribution Authorisation
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