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RTF Template

State Agency Of Medicines

UNION FORMAT FOR A WHOLESALE DISTRIBUTION AUTHORISATION

Human medicinal products

1. Authorisation Number	:	L00051
2. Name of Authorisation Holder	:	Astra Logistic Ltd. (ORG-100018789 / LOC-100042733)
3. Address(es) of Site(s)	:	Ziemelu Iela 4, Marupes Nov., 2167, Latvia

4. Legally registered address of Authorisation Holder	:	Marupes Pagasts, Ziemelu Iela 4, Lidosta Riga, 1053
5. Scope of authorisation (complete for each site under 4)	:	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 wholesaling authorisation	:	Confidential, Confidential
8. Signature	:
9. Date	:	2023-06-21
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

ANNEX 1

SCOPE OF WHOLESALE DISTRIBUTION AUTHORISATION

Name and address of the site: Astra Logistic Ltd.

(ORG-100018789 / LOC-100042733)

, Ziemelu Iela 4, Marupes Nov., 2167, Latvia

Human medicinal products

1. MEDICINAL PRODUCTS

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

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

2. AUTHORISED WHOLESALE DISTRIBUTION OPERATIONS

2.1. Procurement

2.2. Holding

2.3. Supply

2.4. Export

2.5. Other activities(s): distribution of medicinal products of contract wholesales,provision of customs warehousing services

3. MEDICINAL PRODUCTS WITH ADDITIONAL REQUIREMENTS

3.1.1. Narcotic or psychotropic products

3.1.2. Medicinal products derived from blood

3.1.3. Immunological medicinal products

3.3. Cold chain products(requiring low temperature handling)

Any restrictions or clarifying remarks (for all users): 3.1.1.1.psychotropic medicinal products, 3.1.1.2. psychotropic substances, 3.1.1.3.narcotic and equivalent thereto psychotropic medicinal products

It is allowed to store medicinal products specified in Paragraphs 3.1.1.1., 3.1.1.2., 3.1.2., 3.1.3., 3.3. of Annex 1 in the customs warehouse.
2. It is allowed to store psychotropic substances specified in Paragraph 3.1.1.2. of Annex 1 in the customs warehouse only.

*Art 5 of Directive 2001/83/EC or Art 83 of Regulation EC/726/2004

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

Union Format for a Wholesale Distribution Authorisation	L00051
	Page 1

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