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Information Messages
  • The WDA has been withdrawn, withdrawn date is: 2025-12-24
  • RTF Template


    Federal Agency for Medicines and Health Products

    UNION FORMAT FOR A WHOLESALE DISTRIBUTION AUTHORISATION


    1. Authorisation Number

    :

    1321 H

    2. Name of Authorisation Holder

    :

    Pharm-Inter SRL

    3. Address(es) of Site(s)

    :

    Avenue du Château 108 boîte 1, Bruxelles, 1081, Belgium 




    4. Legally registered address of Authorisation Holder

    :

    Avenue du Château 108 boîte 1, Bruxelles, 1081, Belgium

    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

    :

    2021-12-17

    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: Pharm-Inter SRL

    , Avenue du Château 108 boîte 1, Bruxelles, 1081, Belgium   




    1. MEDICINAL PRODUCTS

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


    2. AUTHORISED WHOLESALE DISTRIBUTION OPERATIONS

       2.1. Procurement 

       2.4. Export 



    Any restrictions or clarifying remarks (for all users):  1.3 Procurement of medicinal product from third country without physical holding in the EEA

    1.3 Approvisionnement en médicaments depuis des pays tiers sans stockage physique dans l'EEE








    Reason for Withdrawing:

    old

    old








    Union Format for a Wholesale Distribution Authorisation

    1321 H


    Page 1





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