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RTF Template

Malta Medicines Authority

UNION FORMAT FOR A WHOLESALE DISTRIBUTION AUTHORISATION

Human medicinal products

1. Authorisation Number	:	WL039
2. Name of Authorisation Holder	:	J Mifsud (ORG-100020494 / LOC-100037473)
3. Address(es) of Site(s)	:	Garage No 36, Triq Il Bebuna, Mellieha, MLH 1580, Malta D12 Lg, Midland Micro Enterprise Park, Naxxar, NXR 6345, Malta

4. Legally registered address of Authorisation Holder	:	No 31 Triq Il-Fortizza, Il-Mellieha, MLH 1519
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	:	2025-11-21
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: J Mifsud

(ORG-100020494 / LOC-100071343)

, Garage No 36, Triq Il Bebuna, Mellieha, MLH 1580, Malta

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

Name and address of the site: J Mifsud

(ORG-100020494 / LOC-100042432)

, D12 Lg, Midland Micro Enterprise Park, Naxxar, NXR 6345, Malta

Human medicinal products

1. MEDICINAL PRODUCTS

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

2. AUTHORISED WHOLESALE DISTRIBUTION OPERATIONS

2.1. Procurement

2.2. Holding

2.3. Supply

Union Format for a Wholesale Distribution Authorisation	WL039
	Page 1

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