Указ Губернатора Орловской области от 30.10.2012 № 441

|         |                               |                 |                                                                                                                                                                                                                                                                                      (адрес места осуществления фармацевтической деятельности)                                                                                                                                                                                                                                                                                       |
|         |                               |                 |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      |
|         |                               |                 | 2.4. Аптечный пункт                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  |
|         |                               |                 |                                                                                                                                                                                                                                                             ______________________________________________ (адрес места осуществления лицензируемого вида деятельности)                                                                                                                                                                                                                                                              |
|         |                               |                 |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      |
|—————————|———————————————————————————————|—————————————————|——————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————|
|         |                               |                 | 2.5. Аптечный киоск                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  |
|         |                               |                 | ______________________________________________                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       |
|         |                               |                 |                                                                                                                                                                                                                                                                                     (адрес места осуществления лицензируемого вида деятельности)                                                                                                                                                                                                                                                                                     |
|         |                               |                 |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      |
|         |                               |                 | __* хранение лекарственных средств для медицинского применения;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      |
|         |                               |                 | __* хранение лекарственных препаратов для медицинского применения;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   |
|         |                               |                 |  __* перевозка лекарственных препаратов для медицинского применения;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 |
|         |                               |                 | __* перевозка лекарственных средств для медицинского применения;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     |
|         |                               |                 | __* розничная торговля лекарственными препаратами для медицинского применения;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       |
|         |                               |                 | __* отпуск лекарственных препаратов для медицинского применения;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     |
|         |                               |                 | __* изготовление лекарственных препаратов для медицинского применения.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               |
|         |                               |                 |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      |
|         |                               |                 | 3. Структурные подразделения медицинских организаций:                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                |
|         |                               |                 |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      |
|         |                               |                 | 3.1. Аптека готовых лекарственных форм                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               |
|         |                               |                 |                                                                                                                                                                                                                                                             ______________________________________________ (адрес места осуществления лицензируемого вида деятельности)                                                                                                                                                                                                                                                              |
|         |                               |                 |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      |
|—————————|———————————————————————————————|—————————————————|——————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————|
|         |                               |                 | 3.2. Аптека производственная                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         |
|         |                               |                 | ______________________________________________                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       |
|         |                               |                 |                                                                                                                                                                                                                                                                                      (адрес места осуществления фармацевтической деятельности)                                                                                                                                                                                                                                                                                       |
|         |                               |                 | 3.3. Аптека производственная с правом изготовления асептических лекарственных препаратов                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             |
|         |                               |                 | ______________________________________________                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       |
|         |                               |                 |                                                                                                                                                                                                                                                                                      (адрес места осуществления фармацевтической деятельности)                                                                                                                                                                                                                                                                                       |
|         |                               |                 | 3.4. Аптечный пункт                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  |
|         |                               |                 |                                                                                                                                                                                                                                                             ______________________________________________ (адрес места осуществления лицензируемого вида деятельности)                                                                                                                                                                                                                                                              |
|         |                               |                 | __* хранение лекарственных средств для медицинского применения;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      |
|         |                               |                 | __* хранение лекарственных препаратов для медицинского применения;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   |
|         |                               |                 | __* перевозка лекарственных препаратов для медицинского применения;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  |
|         |                               |                 | __* перевозка лекарственных средств для медицинского применения;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     |
|         |                               |                 | __* розничная торговля лекарственными препаратами для медицинского применения;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       |
|         |                               |                 | __* отпуск лекарственных препаратов для медицинского применения;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     |
|         |                               |                 | __* изготовление лекарственных препаратов для медицинского применения.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               |
|         |                               |                 |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      |
|         |                               |                 | 4. Обособленные подразделения медицинских организаций, расположенных в сельских поселениях, в которых отсутствуют аптечные организации:                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              |
|         |                               |                 |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      |
|         |                               |                 | 4.1. Центр (отделение) общей врачебной (семейной) практики                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           |
|         |                               |                 |                                                                                                                                                                                                                                                         ______________________________________________________ (адрес места осуществления лицензируемого вида деятельности)                                                                                                                                                                                                                                                          |
|         |                               |                 |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      |
|         |                               |                 |  4.2. Амбулатория                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    |
|         |                               |                 |                                                                                                                                                                                                                                                         ______________________________________________________ (адрес места осуществления лицензируемого вида деятельности)                                                                                                                                                                                                                                                          |
|         |                               |                 |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      |
|         |                               |                 | 4.3. Фельдшерский пункт                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              |
|         |                               |                 | ______________________________________________________ (адрес места осуществления лицензируемого вида деятельности)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  |
|         |                               |                 |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      |
|         |                               |                 | 4.4. Фельдшерско-акушерский пункт                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    |
|         |                               |                 |                                                                                                                                                                                                                                                             ______________________________________________ (адрес места осуществления лицензируемого вида деятельности)                                                                                                                                                                                                                                                              |
|         |                               |                 | __* хранение лекарственных препаратов для медицинского применения;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   |
|         |                               |                 | __* перевозка лекарственных препаратов для медицинского применения;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  |
|         |                               |                 | __* розничная торговля лекарственными препаратами для медицинского применения;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       |
|         |                               |                 | __* отпуск лекарственных препаратов для медицинского применения.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     |
|         |                               |                 |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      |
|         |                               |                 | 5. Индивидуальные предприниматели                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    |
|         |                               |                 |                                                                                                                                                                                                                                                             ______________________________________________ (адрес места осуществления лицензируемого вида деятельности)                                                                                                                                                                                                                                                              |
|         |                               |                 | __* хранение лекарственных средств для медицинского применения;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      |
|         |                               |                 | __* хранение лекарственных препаратов для медицинского применения;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   |
|         |                               |                 | __* перевозка лекарственных препаратов для медицинского применения;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  |
|         |                               |                 | __* перевозка лекарственных средств для медицинского применения;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     |
|         |                               |                 | __* розничная торговля лекарственными                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                |
|         |                               |                 | препаратами для медицинского применения;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             |
|         |                               |                 | __* отпуск лекарственных препаратов для медицинского применения;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     |
|         |                               |                 | __* изготовление лекарственных препаратов для медицинского применения.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               |
|         |                               |                 |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      |
|         |                               |                 | 6. Иные организации, осуществляющие обращение лекарственных средств                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  |
|         |                               |                 |                                                                                                                                                                                                                                                             ______________________________________________ (адрес места осуществления лицензируемого вида деятельности)                                                                                                                                                                                                                                                              |
|         |                               |                 | __* хранение лекарственных средств для медицинского применения;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      |
|         |                               |                 | __* хранение лекарственных препаратов для медицинского применения;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   |
|         |                               |                 | __* перевозка лекарственных препаратов для медицинского применения;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  |
|         |                               |                 | __* перевозка лекарственных средств для медицинского применения;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     |
|         |                               |                 | __* розничная торговля лекарственными                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                |
|         |                               |                 | препаратами для медицинского применения;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             |
|         |                               |                 | __* отпуск лекарственных препаратов для медицинского применения;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     |
|         |                               |                 | __* изготовление лекарственных препаратов для медицинского применения                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                |
|         |                               |                 |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      |
|—————————|———————————————————————————————|—————————————————|——————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————————|



 * Нужное указать
__________________________________________________________________
  (Ф.И.О. руководителя постоянно действующего исполнительного органа
юридического лица или иного лица, имеющего право действовать от имени
   этого юридического лица/Ф.И.О. индивидуального предпринимателя)
     
 "_____" ______________ 20___ г. ______________________
                              (Подпись)
                                 М.П.
      
     
     
     
     
                                                Приложение к заявлению
                                ______________________________________

     Сведения, содержащие новый  адрес осуществления  фармацевтической
деятельности и подтверждающие соответствие лицензиата лицензионным
требованиям на объекте по адресу:
____________________________________________________________________________________________________________________________________
     
     
     1. Реквизиты документов,  подтверждающих право собственности  или
иное  законное  основание использования  помещений  для  осуществления
лицензируемой деятельности (за исключением медицинских организаций).


|——————|——————————————————————|———————|—————————————————————————————————————|—————————————————|——————————————————|
|  N   |    Вид документа     |  N,   |      Арендодатель/ссудодатель       | Срок действия/  |       Акт        |
|      |                      | дата  |                                     |     наличие     | приема-передачи, |
|      |                      |       |                                     |   регистрации   |       дата       |
|——————|——————————————————————|———————|—————————————————————————————————————|—————————————————|——————————————————|
|  1   | Договор аренды       |       |                                     |                 |                  |
|——————|——————————————————————|———————|—————————————————————————————————————|—————————————————|——————————————————|
|  2   | Договор субаренды    |       |                                     |                 |                  |
|——————|——————————————————————|———————|—————————————————————————————————————|—————————————————|——————————————————|
|  3   | Договор              |       |                                     |                 |                  |
|      | безвозмездного       |       |                                     |                 |                  |
|      | пользования          |       |                                     |                 |                  |
|——————|——————————————————————|———————|—————————————————————————————————————|—————————————————|——————————————————|
|  4   | Иное                 |       |                                     |                 |                  |
|——————|——————————————————————|———————|—————————————————————————————————————|—————————————————|——————————————————|



|——————|———————————————————————|————————————|———————————————————|———————————|——————————|
|  N   |     Вид документа     |    Дата    |  Регистрационный  |   Серия   | N бланка |
|      |                       |   выдачи   |       номер       |           |          |
|——————|———————————————————————|————————————|———————————————————|———————————|——————————|
|  1   | Свидетельство о праве |            |                   |           |          |
|      | собственности         |            |                   |           |          |
|——————|———————————————————————|————————————|———————————————————|———————————|——————————|
|  2   | Свидетельство о праве |            |                   |           |          |
|      | оперативного          |            |                   |           |          |
|      | управления            |            |                   |           |          |
|——————|———————————————————————|————————————|———————————————————|———————————|——————————|
|  3   | Свидетельство о праве |            |                   |           |          |
|      | хозяйственного        |            |                   |           |          |
|      | ведения               |            |                   |           |          |
|——————|———————————————————————|————————————|———————————————————|———————————|——————————|
|  4   | Иное                  |            |                   |           |          |
|——————|———————————————————————|————————————|———————————————————|———————————|——————————|


     2. Реквизиты документов,  подтверждающих право собственности  или
иное законное основание  использования оборудования для  осуществления
лицензируемой деятельности (за исключением медицинских организаций).
     
|———|———————————————————|—————————————|————————————|——————————————————|————————————————|
| N |   Вид документа   | N документа |    Дата    |   Наименование   |   Количество   |
|   |                   |             |            |   оборудования   |                |
|———|———————————————————|—————————————|————————————|——————————————————|————————————————|
| 1 | Товарная          |             |            |                  |                |
|   | накладная         |             |            |                  |                |
|———|———————————————————|—————————————|————————————|——————————————————|————————————————|
| 2 | Счет-фактура      |             |            |                  |                |
|———|———————————————————|—————————————|————————————|——————————————————|————————————————|
| 3 | Товарный чек      |             |            |                  |                |
|———|———————————————————|—————————————|————————————|——————————————————|————————————————|
| 4 | Кассовый чек      |             |            |                  |                |
|———|———————————————————|—————————————|————————————|——————————————————|————————————————|
| 5 | Иное              |             |            |                  |                |
|———|———————————————————|—————————————|————————————|——————————————————|————————————————|



     3. Реквизиты    санитарно-эпидемиологического    заключения     о
соответствии помещений требованиям  санитарных правил (за  исключением
медицинских организаций).
     
|———|———————————————————|———————————|————————————|——————————————————|—————————————————|
| N |   Вид документа   |    Вид    |    Дата    | Регистрацион-ный |     Серия,      |
|   |                   |  объекта  |   выдачи   |      номер       |  номер бланка   |
|———|———————————————————|———————————|————————————|——————————————————|—————————————————|
| 1 | Заключение        |           |            |                  |                 |
|———|———————————————————|———————————|————————————|——————————————————|—————————————————|
     
     
     
     4. Реквизиты  документов о  высшем  или среднем  фармацевтическом
образовании   и   сертификатах  специалистов   -   для   осуществления
фармацевтической деятельности в сфере обращения лекарственных  средств
для медицинского применения (за исключением медицинских организаций).





|——————|———————|————————————|————————————————————————|—————————————————————————|————————————————————|—————————————————|
|      |       | Должность, |      Сведения об       |       Сведения о        |     Сведения о     |   Сведения о    |
|  N   |  ФИО  |    стаж    |      образовании       |    профессиональной     |     повышении      |     наличии     |
|      |       |   работы   |     специалистов,      |       подготовке        |    квалификации    |   документа,    |
|      |       |            | в т.ч. индивидуального |    (переподготовке)     |                    | подтверждающего |
|      |       |            |    предпринимателя     |                         |                    |  смену фамилии  |
|      |       |            |                        |                         |                    | (если имеется)  |
|——————|———————|————————————|————————————————————————|—————————————————————————|————————————————————|—————————————————|
|      |       |            |     данные диплома     |   данные сертификата    |       данные       |     данные      |
|      |       |            |  (кем и когда выдан,   |   (кем и когда выдан,   |  свидетельства о   | свидетельства о |
|      |       |            | серия, регистрационный | серия, регистрационный  |     повышении      |  браке (кем и   |
|      |       |            |   N, специальность)    |    N, специальность,    |    квалификации    |  когда выдано,  |
|      |       |            |                        |    действителен до)     |    (кем и когда    |     серия,      |
|      |       |            |                        |                         |   выдан, серия,    | регистрационный |
|      |       |            |                        |                         | регистрационный N, |       N)        |
|      |       |            |                        |                         |   название цикла   |                 |
|      |       |            |                        |                         |     последнего     |                 |
|      |       |            |                        |                         | усовершенствования |                 |
|      |       |            |                        |                         |   по заявляемому   |                 |
|      |       |            |                        |                         | виду деятельности, |                 |
|      |       |            |                        |                         | количество часов)  |                 |
|——————|———————|————————————|————————————————————————|—————————————————————————|————————————————————|—————————————————|
|  1.  |       |            |                        |                         |                    |                 |
|——————|———————|————————————|————————————————————————|—————————————————————————|————————————————————|—————————————————|





     5. Реквизиты     документов     о     наличии     дополнительного
профессионального    образования    в   части    розничной    торговли
лекарственными препаратами  для  медицинского применения  и о  наличии
права  на осуществление  медицинской  деятельности -  для  работников,
намеренных   осуществлять   фармацевтическую  деятельность   в   сфере
обращения  лекарственных   средств  для   медицинского  применения   в
обособленных подразделениях  медицинских организаций (для  медицинских
организаций).
     
     
|——————|———————|————————————|———————————————————————|————————————————————————————|———————————————————————————————————————|———————————————————————|
|  N   |  ФИО  | Должность, |      Сведения об      |         Сведения о         |  Сведения о наличии дополнительного   |  Сведения о наличии   |
|      |       |    стаж    |      образовании      |      профессиональной      | профессионального образования в части |      документа,       |
|      |       |   работы   |     специалистов      |         подготовке         |   розничной торговли лекарственными   | подтверждающего смену |
|      |       |            |                       |      (переподготовке)      |     препаратами для медицинского      |        фамилии        |
|      |       |            |                       |                            |              применения               |    (если имеется)     |
|——————|———————|————————————|———————————————————————|————————————————————————————|———————————————————————————————————————|———————————————————————|
|      |       |            |    данные диплома     |     данные сертификата     |         данные свидетельства          | данные свидетельства  |
|      |       |            |  (кем и когда выдан,  | (кем и когда выдан, серия, |      (кем и когда выдано, серия,      | о браке (кем и когда  |
|      |       |            |        серия,         |     регистрационный N,     |  регистрационный N, название цикла,   |    выдано, серия,     |
|      |       |            |  регистрационный N,   |       специальность,       |           количество часов)           |  регистрационный N)   |
|      |       |            |    специальность)     |      действителен до)      |                                       |                       |
|——————|———————|————————————|———————————————————————|————————————————————————————|———————————————————————————————————————|———————————————————————|
|  1   |       |            |                       |                            |                                       |                       |
|——————|———————|————————————|———————————————————————|————————————————————————————|———————————————————————————————————————|———————————————————————|




Реквизиты лицензии  на  осуществление  медицинской  деятельности  (для
медицинских организаций).

|——————|———————————————————|———————————|————————————|————————————————————————|————————————————————————————————|——————————————————————————|
|  N   |        Вид        |    Кем    |    Дата    | Регистрационный номер  |      Серия, номер бланка       |           Срок           |
|      |     документа     |  выдана   |   выдачи   |                        |                                |         действия         |
|——————|———————————————————|———————————|————————————|————————————————————————|————————————————————————————————|——————————————————————————|
|  1   |     Лицензия      |           |            |                        |                                |                          |
|——————|———————————————————|———————————|————————————|————————————————————————|————————————————————————————————|——————————————————————————|
|      |                   |           |            |                        |                                |                          |
|——————|———————————————————|———————————|————————————|————————————————————————|————————————————————————————————|——————————————————————————|


________________________________________________________________________________________________________                                   
  (Ф.И.О. руководителя постоянно действующего исполнительного органа
юридического лица или иного лица, имеющего право действовать от имени
   этого юридического лица/Ф.И.О. индивидуального предпринимателя)
     
 "_____" ______________ 20___ г. _______________________________
                              (Подпись)
                                 М.П.



_________________________________________________
Примечание: пункты 5-6 заполняются при осуществлении  фармацевтической
деятельности в сфере обращения лекарственных средств для  медицинского
применения в обособленных подразделениях медицинских организаций.


                                                          Приложение 4
                                                   к административному
                                             регламенту предоставления
                                         Департаментом здравоохранения
                              и социального развития Орловской области
                              государственной услуги по лицензированию
                         фармацевтической деятельности (за исключением
                            деятельности, осуществляемой организациями
                          оптовой торговли лекарственными средствами и
                            аптечными организациями, подведомственными
                                    федеральным органам исполнительной
                                               власти, государственным
                                                       академиям наук)



     
       Опись документов для получения лицензии на осуществление
                    фармацевтической деятельности

     Настоящим удостоверяется,  что  _________________________________
__________________________________________________________________
     (наименование юридического лица/индивидуального предпринимателя)
в лице     представителя     соискателя     лицензии      (лицензиата)
__________________
     _________________________________ представил,   а   лицензирующий
орган - Департамент  здравоохранения и социального развития  Орловской
области принял от соискателя лицензии (лицензиата)
"____" ___________________   20   ___   г.    N_______________________
нижеследующие документы для  предоставления лицензии на  осуществление
фармацевтической деятельности:



|————|————————————————————————————————————————————————————————|——————————————|———————————|
| N  |                Наименование документа                  | Количество   |Количество |
|    |                                                        |   листов     | страниц   |
|————|————————————————————————————————————————————————————————|——————————————|———————————|
| 1  |Заявление*                                              |              |           |
|————|————————————————————————————————————————————————————————|——————————————|———————————|
| 2  |Копии учредительных документов юридического лица,       |              |           |
|    |засвидетельствованные в нотариальном порядке*           |              |           |
|————|————————————————————————————————————————————————————————|——————————————|———————————|
| 3  |Копия документа, подтверждающего оплату государственной |              |           |
|    |пошлины за предоставление лицензирующим органом         |              |           |
|    |лицензии**                                              |              |           |
|————|————————————————————————————————————————————————————————|——————————————|———————————|
| 4  |Копии документов, подтверждающих наличие у соискателя   |              |           |
|    |лицензии на праве собственности или на ином законном    |              |           |
|    |основании необходимых для осуществления                 |              |           |
|    |фармацевтической деятельности помещений,                |              |           |
|    |соответствующих установленным требованиям, права на     |              |           |
|    |которые не зарегистрированы в Едином государственном    |              |           |
|    |реестре прав на недвижимое имущество и сделок с ним     |              |           |
|    |(кроме медицинских организаций)*                        |              |           |
|————|————————————————————————————————————————————————————————|——————————————|———————————|
| 5  |Копии документов, подтверждающих наличие у соискателя   |              |           |
|    |лицензии на праве собственности или на ином законном    |              |           |
|    |основании помещений, необходимых для осуществления      |              |           |