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Republic of the Philippines

FMi,,
FDA-2O14KJ
Department of Health
FOOD AND DRUG ADMINISTRATION Food and Drug Admini#dion
PHILIPPINES

FDA LTO No. : CDRFRXI-DW-9SI


Licensing TYPe : OPdng

LICENSE TO OPERATE
as DRUG DISTRIBUTOR/WHOLESALER
Pursuant to Republic Act No. 3720, as amended by Republic Act No. 9711, otherwise
known as the food and Drug Administration Act of 2009, other allied laws and their
implementing rules and regulations, this license is hereby issued in favor of:

Name of Establishment: DAVAO ATHENA DRUG & GENERAL


MERCHANDISE, INC.
Address : Blk. 34Lot 14, Deca Homes, Esperanza, Brgy' Tigatto,
Davao City
Owner : DAVAOATHENADRUG& GENERAL
MERCHANDISE, INC.

to operate as a DRUG DISTRIBUTOR/WHOLESALER, having complied with the


pertinent requirements governing the operations of such establishment.

The License shall be valid until 10 November 2015, subject to renewal and continuing
compliance of the licensee of the above-mentioned laws, other allied laws, rules and
regrilations issued thereunder. This License must be displayed at all time in a conspicuous
place within the premises of the establisM

Notwithstanding the issuance of this License, the same is still subject to inspection by
FDA authorized representatives at any reasonable time and day and can be suspended or
revoked anytime upon order from the FDA should a violation of any provision of FDA laws,
rules and regulations be committed by the licensee. I

All products must be registered with FDA prior to manufacture, importation, sale,
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offer for rul", dirtribution, or transfer, and/or advertisement and promotion of the above
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licensee, as the case may be. Establishments handling vaccines, biologics and other
temperature-sensitive drug products are hereby directed to comply with the Cold Chain
Management Requirements.

WITNESS MY HAND and the Seal of this Office, this lOth day of November 2014.

BY AUTHORITY OF TIIE DIRECTOR.GENERAL

MARIA LOURDtrS C. S AGO, MSc, MM


Officer-in-Cf,arge .

Center for Drug Regulation and Research

Official Receipt No.: 474170 Date Issued: 06 Jan 14 Amount: P 29,050.00


Turned Initial
Sources- see attached list (1 Page)
This renlaces LTO No. RDI-RXI-DW-860 issued on 13 August 2010.
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60500r ?098

Civic Drive, Filinvcst Cit-v. Alabang 178.1 Mrurtirrlupa, Philippines


'l-runk Line +63 2 857 1900 Fax +6-1 2 807 0751
Ernai I : intbi@fda. gov.plr
FDA-0133641
Website : rvrvrv. [da. gt'rv.ph