1. Authorisation Number

:

110

2. Name of Authorisation Holder

:

Centrom Pharma Limited

(ORG-100020166 / LOC-100043259)

3. Address(es) of Site(s)

:

Ground Floor Office 005-006, Lapithos 14, Egkomi, Nicosia, 2410, Cyprus 

4. Legally registered address of Authorisation Holder

:

Ground Floor Office 005-006, Lapithos 14, Egkomi, Nicosia, 2410, Cyprus

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

:

2016-01-08

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

Name and address of the site: Centrom Pharma Limited

(ORG-100020166 / LOC-100043259)

, Ground Floor Office 005-006, Lapithos 14, Egkomi, Nicosia, 2410, Cyprus   

Human medicinal products

**Without prejudice to further authorisations as may be required according to national legislation.

Reason for Withdrawing:

PLEASE REFER TO GDP NON-COMPLIANCE No: NCCENTROM/2025/001

Union Format for a Wholesale Distribution Authorisation

110

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