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RTF Template

Junta De Comunidades De Castilla La Mancha

UNION FORMAT FOR A WHOLESALE DISTRIBUTION AUTHORISATION

Human medicinal products

1. Authorisation Number	:	0019-CLM
2. Name of Authorisation Holder	:	Atdis Pharma S.L. (ORG-100020600 / LOC-100029361)
3. Address(es) of Site(s)	:	Calle Carraquer Sn Poligono Industrial La Quinta R 2, Cabanillas Del Campo, 19171, Spain

4. Legally registered address of Authorisation Holder	:	Avenida De Cristobal Colon No 309, Poligono Industrial El Henares, Guadalajara, 19004
5. Scope of authorisation	:	ANNEX 1
6. Legal basis of authorisation	:	Art. 77(1) of Directive 2001/83/EC Real Decreto 782/2013, de 11 de octubre
7. Name of responsible officer of the competent authority of the member state granting the wholesale distribution authorisation	:	Confidential, Confidential
8. Signature	:
9. Date	:	2026-04-07
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: Atdis Pharma S.L.

(ORG-100020600 / LOC-100029362)

, Calle Carraquer Sn Poligono Industrial La Quinta R 2, Cabanillas Del Campo, 19171, 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

2.5. Other activities(s): (please specify) Almacén por contrato/ contract warehouse

Union Format for a Wholesale Distribution Authorisation	0019-CLM
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