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RTF Template

Spanish Agency Of Medicines And Medical Devices

UNION FORMAT FOR A WHOLESALE DISTRIBUTION AUTHORISATION

Human medicinal products

1. Authorisation Number	:	1317E
2. Name of Authorisation Holder	:	Peroxfarma S.A. (ORG-100007809 / LOC-100010956)
3. Address(es) of Site(s)	:	Cami Sacraments 65 Naves 11-14, Poligono Industrial Sant Ermengol, Abrera, 08630, Spain

4. Legally registered address of Authorisation Holder	:	Calle Provenca 328, Barcelona, 08037, Spain
5. Scope of authorisation	:	ANNEX 1
6. Legal basis of authorisation	:	WDA-D824-2010
7. Name of responsible officer of the competent authority of the member state granting the wholesale distribution authorisation	:	Confidential, Confidential
8. Signature	:
9. Date	:	2025-02-17
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: Peroxfarma S.A.

(ORG-100007809 / LOC-100010930)

, Cami Sacraments 65 Naves 11-14, Poligono Industrial Sant Ermengol, Abrera, 08630, Spain

Human medicinal products

1. MEDICINAL PRODUCTS

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

2. AUTHORISED WHOLESALE DISTRIBUTION OPERATIONS

2.2. Holding

2.3. Supply

2.5. Other activities(s): (please specify) Laboratorio TAC de medicamentos / MAH of medicinal products with warehouse

Union Format for a Wholesale Distribution Authorisation	1317E
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