1. Authorisation Number
|
:
|
GIF-N-411/715-1/MSH/13
|
2. Name of Authorisation Holder
|
:
|
Farmak International Sp. z o.o.
(ORG-100014384 / LOC-100020290)
|
3. Address(es) of Site(s)
|
:
|
Piłsudskiego 141, Łódź, łódzkie, 92-318, Poland
|
|
|
|
4. Legally registered address of Authorisation Holder
|
:
|
Aleja Jana Pawla II 22, Warsaw, 00-133
|
5. Scope of authorisation
|
:
|
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 wholesale distribution authorisation
|
:
|
Confidential, Confidential
|
8. Signature
|
:
|
|
9. Date
|
:
|
2024-01-26
|
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
|