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Developing medicines based on cannabinoid scienceEmerald Health Pharmaceuticals
e m e r a l d b i o . l i f e P.2
Cautionary Note Regarding Forward-Looking Statements
TO THE EXTENT STATEMENTS CONTAINED IN THE FOLLOWING PRESENTATION ARE NOT DESCRIPTIONS OFHISTORICAL FACTS REGARDING THE COMPANY, THEY SHOULD BE CONSIDERED “FORWARD-LOOKINGSTATEMENTS,” AS DESCRIBED IN THE PRIVATE SECURITIES LITIGATION REFORM ACT OF 1995, THAT REFLECTMANAGEMENT’S CURRENT BELIEFS AND EXPECTATIONS. YOU CAN IDENTIFY FORWARD-LOOKINGSTATEMENTS BY WORDS SUCH AS “ANTICIPATE,” “BELIEVE,” “COULD,” “ESTIMATE,” “EXPECT,” “FORECAST,”“GOAL,” “HOPE,” “HYPOTHESIS,” “INTEND,” “MAY,” “PLAN,” “POTENTIAL,” “PREDICT,” “PROJECT,” “SHOULD,”“STRATEGY,” “WILL,” “WOULD,” OR THE NEGATIVE OF THOSE TERMS, AND SIMILAR EXPRESSIONS THAT CONVEYUNCERTAINTY OF FUTURE EVENTS OR OUTCOMES. FORWARD-LOOKING STATEMENTS CONTAINED IN THESEPRESENTATIONS INCLUDE, BUT ARE NOT LIMITED TO, STATEMENTS REGARDING: (I) THE SUCCESS AND TIMING OFOUR PRODUCT DEVELOPMENT ACTIVITIES AND CLINICAL TRIALS; (II) OUR ABILITY TO DEVELOP OUR PRODUCTCANDIDATES; (III) OUR PLANS TO RESEARCH, DISCOVER, EVALUATE AND DEVELOP ADDITIONAL POTENTIALPRODUCT, TECHNOLOGY AND BUSINESS CANDIDATES AND OPPORTUNITIES; (IV) OUR ABILITY TO DEVELOP ANDMANUFACTURE OUR PRODUCT CANDIDATES AND TO IMPROVE THE MANUFACTURING PROCESS; (V) OUR ABILITYTO ATTRACT AND RETAIN KEY SCIENTIFIC OR MANAGEMENT PERSONNEL; (VI) THE ANTICIPATED TIMING OFCLINICAL DATA AVAILABILITY; (VII) OUR ABILITY TO MEET OUR MILESTONES; (VIII) OUR EXPECTATIONS REGARDINGOUR ABILITY TO OBTAIN AND MAINTAIN INTELLECTUAL PROPERTY PROTECTION; AND (IX) THE IMPACT OF CAPITALMARKET CONDITIONS ON US. FORWARD-LOOKING STATEMENTS ARE SUBJECT TO KNOWN AND UNKNOWNFACTORS, RISKS AND UNCERTAINTIES THAT MAY CAUSE ACTUAL RESULTS TO DIFFER MATERIALLY FROM THOSEEXPRESSED OR IMPLIED BY SUCH FORWARD LOOKING STATEMENTS. UNDUE RELIANCE SHOULD NOT BE PLACEDON FORWARD-LOOKING STATEMENTS. WE UNDERTAKE NO OBLIGATION TO PUBLICLY UPDATE ANY FORWARD-LOOKING STATEMENTS. THE COMPANY’S INVESTIGATIONAL DRUG PRODUCTS HAVE NOT BEEN APPROVED ORCLEARED BYTHE FDA.
Emerald Health Pharmaceuticals
A clinical-stage pharmaceutical company developing first-in-class drug candidates
to treat critical diseases with unmet medical need
Our technology has a unique multi-pronged mechanism of action not seen with other molecules, addressing validated targets for
neurodegenerative, autoimmune, fibrotic & inflammatory diseases
Preclinical studies demonstrate disease modification with the potential to reverse the progression of diseases which currently have
no cure and cause significant mortality
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Emerald Health Pharmaceuticals: Key Highlights
Strong IP & Significant Market
Unique Mechanism of
Action
StrongTeam
Broad patent protection with a US$39B market
opportunity in the first 4 targeted
diseases
New Chemical Entities (NCEs)
with the potential for disease
modification in diseases with no
current cure
Experienced biotech/pharma executives and
globally-recognized clinical
and scientific advisors
Clinical StageDevelopment
Lead product candidate to enter
Phase 2 human trials in Q4 2019
for multiple sclerosis &
scleroderma
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NOTE: In the scientific literature:EHP-101 = VCE-004.8EHP-102 = VCE-003.2
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Development Roadmap
Emerald Health Pharmaceuticals
Status: Private Headquarters: San Diego, CA, USAR&D: Córdoba, Spain
Focused on developing patented synthetic cannabinoid-derived drug candidates to treat diseases with unmet medical need
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• CBD & CBG have multiple positive physiologic effects through interaction with the endocannabinoid system (ECS)
• Research indicates they are: - Anti-inflammatory- Antioxidative- Neuroprotective- Analgesic- Anti-infective- Non-psychoactive
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The Technology: Patented NCEs Derived from CBD & CBG
CB1 Psychotropic Health benefits?
Receptors
CB2 TRPV1
GPR55 FAAH
PPARs MALG
TRPA1
Non-psychotropicHealth benefits
Distribution of CB1 Receptors
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The ECS Exists Throughout the Body
• AUGMENT CBD & CBG receptor targeting
• FOCUS on receptors that can treat diseases with unmet medical need
• DEVELOP composition of matter patented cannabinoid new chemical entities (NCEs)
• CREATE a strong IP portfolio
To Improve on the positive health effects of CBD and CBG by modifying them to create enhanced molecules
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Our Scientific Approach
14 patented CBD derivatives
11 patented CBG derivatives
Molecules in our NCE Library
• Composition of matter patents
• Protection to 2037
• Potential for multiple products and indications
14 granted, 18 pending, covering 25 molecules
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Patents
CBD HU-331 VCE-004.8
CB2
PPARγ
VCE-004.8a CBD derivative
CB2 TRPV1
GPR55 FAAH
PPARs MALGTRPA1
DRUG DISCOVERY SCREENING
PLATFORM FOR ECS TARGETS
EHP’s Cannnabinoid
Library
PPARγ
VCE-003.2A CBG derivative
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Rational Drug Design: New Chemical Entity (NCE)
The U.S. Drug Enforcement Administration (DEA)
Unlike CBD (a controlled substance):
• VCE-004.8 (the active ingredient in EHP-101) is not a controlled substance
• Indicative of complete difference between our molecule and CBD
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NCE: A Non-Controlled Substance Cannabinoid
Parkinson’s disease Huntington’s disease
Neurodegenerative
Fibrotic
Ulcerative Colitis / Crohn’s
Inflammatory
Metabolic
Auto-Immune
CancerDiabetes
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Provides Many Therapeutics Opportunities
NOTE: In the scientific literature:EHP-101 = VCE-004.8EHP-102 = VCE-003.2
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Development Roadmap
Cannabidiol (CBD) derivative
CBD:
• Does not bind to CB1 (non-psychotropic)
• Safe, anti-inflammatory, neuroprotective, analgesic, anti-proliferative
• Helps improve MS symptoms
CBD
EHP-101
GOAL: maintain these attributes and improve on the ability to treat diseases instead of just address symptoms
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Lead Product Candidate: EHP-101
Chronic inflammatory, degenerative, demyelinating CNS disorder
• Our molecule targets receptors associated with MS
• Current medications are most effective only during the inflammatory phase; less potent as the disease transitions to a neurodegenerative process
• No effective disease-modifying drugs for progressive forms
• No therapies appear to re-myelinate damaged neurons
Main symptoms ofMultiple Sclerosis
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EHP-101: Why Multiple Sclerosis?
Multiple SclerosisNormal
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EHP-101 Can Potentially Re-Myelinate Nerves Damaged by MS
Our strategy:
To improve on CBD’s known positive effects by affecting validated targets in MS:
- PPARγ- CB2- HIF
HIF 1HIF 2
EHP 101
PPARγ
CB2
PPARγ: Peroxisome proliferator-activated receptor gammaCB2: Cannabinoid receptor Type 2HIF: Hypoxia inducible factor
CBD
validated targets in MS:Increases
Neuroprotection
Improves neuron survival
and repair
Potential for Remyelination
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EHP-101: Designed for Mechanism of Action
Reducesneuroinflammation
Dose response with efficacy at 5 mg/kg
Control (untreated):
Treated:
Demonstrated efficacy in MS models
• Significant improvement in clinical signs
• Stops neuroinflammation and demyelination
• Remyelinates neurons
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EHP-101: Efficacy Demonstrated in Multiple Sclerosis
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EHP-101: Efficacy Demonstrated in MS - REMYELINATION
Density of Myelinated Axons in the Corpus Callosum
• Sign i f i cant inc rease in dens i t y o f mye l ina ted axons vs . cont ro l w i th o ra l EHP-101 (10 and 20 mg/kg/day )
• Sign i f i cant d i f fe rence between 10 and 20 mg/kg/day re la t i ve to 5 mg/kg/day EHP-101
• EHP-101 promotes remyel inat ion of axons in bra in whi te matter
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EHP-101: Other Demyelinating Disease Opportunities
Inflammatory/ Immune
Disorders
• MS• Optic Neuritis • ADEM • Paraneoplastic• Rheumatoid arthritis • Systemic lupus
erythematosus• Behcet’s disease• Sjorgen disease
Infectious diseases
• HIV• PML• Lyme disease• Neurosyphilis• HTLV-1
Granulomatous diseases
• Sarcoidosis• Wegner granulomatous• Lymphoid granulomatous
Demyelinating Disorders (CNS)
Neonatal intracranial haemorragy
Demyelination associated to ischemic or
Traumatic Brain injury
Toxic/ metabolic disorders
• B12 deficiency• Central pontine myelinolysis
• Carbon monoxide• Radiation
• PRES
Myelin disorders
• Meatachromaticleukodystrophy
• Adrenoleukodystrophy/adrenomyeloneuropathy
• Globoid cell (Kranne’s) leuodystrophy
• Alexanders disease• Canavan disease
Chronic, systemic autoimmune disease causing fibrosis of skin and internal organs
• Rare, life-threatening disease
• No SSc-specific approved drugs
• Current therapies not effective and have significant toxicities
• Lung fibrosis is a common cause of death (~60% mortality in 10 years)
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EHP-101: Second Indication - Scleroderma
• Scleroderma is a deadly disease with no current treatment
• PPARγ and CB2: extensively studied molecular targets for the treatment of scleroderma*
• Combined effect on PPARγ, CB2 and HIF not described for other types of marketed drugs
• Pre-clinical proof-of-concept established in relevant animal models*Minghua et al, Tavarares et al, Akhmetshina et al, Del Rio et al
EHP 101PPARγagonist
CB2agonist
Inhibition of collagen synthesis
Inhibition of ERK activation
Fibroblast migrationdecrease
myofibroblastdifferentiation
Anti-inflammatoryactivity in vivo
Antifibrotic activity in vivo
Vascular protection
HIF
EHP-101 targets MoA in scleroderma
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EHP-101: Why Scleroderma?
Demonstrated efficacy in SSc models
• Exerts potent antifibrotic effects and prevents dermal thickening in the scleroderma BLM model
• Prevents collagen accumulation around blood vessels
• Reduces macrophage infiltration into the skin
NATURE
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EHP-101: Efficacy Demonstrated in Scleroderma
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Developed oral formulation, initiated GLP toxicity studies and manufacturing for Phase I
Applied and got US FDA grant of Orphan Drug Designation for systemic scleroderma and Huntington’s diseaseApplied and got EMAgrant of Orphan Drug Designation for systemic scleroderma
H1
H2
Completed final clinical-enabling studies
Completed a Pre-IND meeting with US FDA (for MS)
Initiated Phase I human study in Australia
Completed a Pre-IND meeting with US FDA (for SSc)
Completed Phase I studySSc IND to be submitted MS Phase IIa to be initiated in Australia
MS IND to be submitted
SSc Phase IIa to be initiated in Australia, New Zealand, USA, Canada
Initial Phase IIa data
2017 2018 2019 2020
Submitted HD ODD application to EMA
Received DEA determination that our NCE is not a Controlled Substance
Initiated 6- and 9-month rat and dog tox studies Completion of 6- and
9-month rat and dog tox studies for initiation of longer Phase IIb studies
Designed Phase I protocol based on FDA feedback to be applicable for Phase II in both MS and SSc
Formed MS and SSc KOL Clinical Advisory Boards
Completed non-clinical proof-of-concept for MS and SSc
EHP-101: Efficacy Demonstrated in Scleroderma
NOTE: In the scientific literature:EHP-101 = VCE-004.8EHP-102 = VCE-003.2
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Development Roadmap
Cannabigerol (CBG) derivative
CBG:
• Does not bind to CB1 (non-psychotropic)
• Provides neuroprotection in models of Huntington’s disease, partially through antioxidant and anti-inflammatory activity, and PPARγ modulation
• Suppresses norepinephrine, providing muscle relaxation and analgesic properties through effects on the CNS
CBG
EHP-102
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EHP-102: Second Product Candidate
Chronic, progressive neurodegenerative disorder with no current cure
• More than 10 million people worldwide have Parkinson's disease
• A disease where damaged neurons do not produce sufficient dopamine (dopamine helps transmit impulses from the brain to the muscles)
• EHP-102 provides neuroprotection, partially through PPARγ activity and reduction in proinflammatory mediators
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EHP-102: Why Parkinson’s Disease?
Oral VCE-003.2 (20 mg/kg) in sesame oil
Pole test
0
10
20
30
40SHAM6-OHDA + vehicle6-OHDA + VCE-003.2
*
##Late
ncy
(s)
Cylinder rearing test
-0.5
0.0
0.5
1.0SHAM6-OHDA + vehicle6-OHDA + VCE-003.2
**
#
Sco
re (
pref
eren
cefo
r ip
sila
tera
l paw
)
Oral VCE-003.2 (20 mg/kg) in sesame oil
TH immunostaining
0
50
100
150
******##
SHAM6-OHDA + vehicle6-OHDA + VCE-003.2
Imm
unos
tain
ing
dens
ity(%
vers
us n
on le
sion
ed s
ide)
Lesioned side Non-lesioned side
control
+ 6-OHDA
+ VCE-003.2
Demonstrated efficacy in PD models
• Improves clinical symptoms and recovers movement parameters (motor coordination and activity) in the 6-OHDA model
• Reduces inflammatory marker expression and prevents dopaminergic neuronal loss in the 6-OHDA model
• Efficacy also shown in the LPS model of Parkinson’s disease
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EHP-102: Efficacy Demonstrated in PD
Causes progressive breakdown of nerve cells
• An orphan disease
• EHP-102 targets PPARγ with improved activity
• Also targets other pathways involved in neuronal survival (ERK 1+2)
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EHP-102: Why Huntington’s Disease?
Clinical symptoms ameliorated in models of HD:
• Improved motor function & clinical scores with EHP-102
• EHP-102 positively affects neuroprotection and neurogenesis
• EHP-102 also showed efficacy in QA and 3NP models of HD
a
Fig. 3
b
Veh VCE-003.2 Veh VCE-003.2
wtHtt mtHtt
Iba-
1 IR
0.0
0.5
1.0
1.5
2.0##**
Htt DAPI
VCE
-003
.2
Veh
mtH
ttw
tHtt
VCE
-003
.2
Veh
Iba-1 Merge
#
0.0
0.5
1.0
1.5
2.0
#**
Late
ncy
Fold
Incr
ease
VCE-003.2 Veh VCE-003.2
wtHtt mtHtt
Veh
Figure 3 Click here to access/download;Figure;Figure 3.pptxClinical
Fig. 4
Htt DAPI
VC
E -
003.
2 V
ehV
CE
-00
3.2
Veh
DARPP32 Merge
mtH
ttw
tHtt
a
DA
RR
P32
+C
ells
/mm
2
0
50
100
150
200
250
****##
Veh VCE-003.2 Veh VCE-003.2
wtHtt mtHtt
Neu
N+
cell/
mm
2
b
0
50
100
150
200 ##
**
Veh VCE-003.2 Veh VCE-003.2
wtHtt mtHtt
Figure 4 Click here to access/download;Figure;Figure 4.pptx
Fig. 4
Htt DAPI
VC
E -
003.
2 V
ehV
CE
-00
3.2
Veh
DARPP32 Merge
mtH
ttw
tHtt
a
DA
RR
P32
+C
ells
/mm
2
0
50
100
150
200
250
****##
Veh VCE-003.2 Veh VCE-003.2
wtHtt mtHtt
Neu
N+
cell/
mm
2
b
0
50
100
150
200 ##
**
Veh VCE-003.2 Veh VCE-003.2
wtHtt mtHtt
Figure 4 Click here to access/download;Figure;Figure 4.pptxNeuroprotection
a bmtHtt
Veh
VCE-003.20
5
10
15
20
25**###
Stria
talD
CX+
cells
/mm
2 **##
Veh EHP-102 Veh EHP-102
wtHtt mtHtt
NeuN
+Br
dU+
/Brd
U+ ce
lls
0
20
40
60
80 ***###
**##
Veh EHP-102 Veh EHP-102
wtHtt mtHtt
Neurogenesis
1Scientific RepoRtsȁͼǣͿͽ;ͿȁǣͷͶǤͷͶ;ȀͿͽ;Ϳ
ǤǤȀ
ǦͶͶǤǡǡǯ ÀǦͷǡǡǡ*ǡ ÀǦͷǡǡǡ*ǡͺǡ*ǡÀͻǡͻǡ±ͻǡ ±ͷǡǡǡ ǦͷǡǡͼǡÀͺǡͽǡͽǡǤͻǡǦͷǡǡƬÓͻ
ơγǤǦͶͶǡȋȌǡǦƪγǤǦǦͶͶǦͶͶǤγǤơǡγǡơǤǡǦͶͶǤȋȌǦǦǤƤǦͶͶǤin vivoǦȋȌǤǦͶͶǤ+ǯǦƤǡǤǦͶͶǤƪǤǦͶͶǤǯȋȌƪǤ
Cannabinoids the main active compounds of marijuana (Cannabis sativa), and its endogenous counterparts anandamide and 2-arachidonoyl glycerol have attracted the interest of the scientific community in the last decade owing to their prominent effects on neurodegenerative and neuroinflammatory conditions1 . Cannabinoids exert neuroprotective actions in various experimental models of neurodegenerative diseases, and most of their effects are mediated via the presynaptic CB1 receptor. CB1 receptor levels notably diminish at early stages of Huntington’s
ͷ××ȋȌǡǡǡǤͿͷͶͶǡǡǤÀÀǡǡǡǤCentro de ×±ȋȌǡǡǤͺVivaCell Óǡ×ǡǤͻ××±×ǡÀǡÀǡÀÀǡ×ǡǤͼ×ÀǡÀÀǡǡǡǤͽǡǡǡǤ*ǤǤǤǦǤȋǣǤǤȌǤǤȋǣǤǤȌ
rǣͿ Ͷͷͼ
aǣͺ Ͷͷͼ
ǣͷͿ Ͷͷͼ
OPEN
NATURE
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EHP-102: Efficacy Demonstrated in Huntington’s Disease
Experienced Pharma & Biotech Management
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Jim DeMesa, MD, MBAChief Executive Officer
30 years in pharma product development and management, including preclinical and clinical trial management, and partnering with pharma companies. 15 years as CEO of public biotech companies.
Nancy CoulsonSVP, Regulatory Affairs
30+ years in global pharma and biotech regulatory mgmt with J&J, BMS, and others.
Eduardo Muñoz, MD, PhDChief Scientific Officer, SAB Chairman
30+ years in biomedical research,Professor of Immunology, author of 200 articles, patents and book chapters with nearly 5,000 citations
Giovanni Appendino, PhDScientific Advisor, SAB
One of the worlds thought leadersin cannabinoid research; Professor ofPharmaceutical Chemistry at the University of Eastern Piedmont; Author of 250 articles and 10 book chapters.
Alain Rolland, PharmD, PhDChief Development Officer
30+ years of leadership experience in R&D, strategic and business development
Avtar Dhillon, MDChairman
Chairman of 5 public life sciencecompanies, led turnaround ofNASDAQ:INO from $10m to $550m
Clinical Advisory Boards:MS: Emmanuelle Waubant, MD, PhD
Juan Antonio Garcia-Merino, MD, PhDSSc: John Varga, MD
Janet Pope, MD Patricia Carreira, MD
Joachim Schupp, MD, Dr. medChief Medical Officer
30+ years in clinical drug development, medical monitoring and clinical trial mgmtwith Ciba-Geigy, Novartis, & others
Lisa Sanford, CPAChief Financial Officer
30+ years of diversified finance and accounting experience in life sciences, pharmaceuticals and biotechnology.
Rao Movva, PhDScientific Advisor, SAB
30 years in drug discovery and development; Novartis Distinguished Scientist; pioneered chemical biology efforts that led to the discovery and the understanding of TOR pathways
Foundation:Therapeutic effect
of CBD and CBG on ECS
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Emerald Health Pharmaceuticals Summary
Multiple additional molecules for new future indications
2 lead molecules, EHP-101 and
EHP-102, being developed for
4 initial indications
Library of patented NCEs derived from CBD and CBG with improved biologic activities targeting specific diseases
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Combined MoAfor EHP molecules not described with
other drugs
EHP-101 human clinical development advancing to
Phase II
Orphan status granted for
scleroderma and Huntington’s disease
Management team experienced
in developing drugs and building
companies
Emerald Health Pharmaceuticals Summary
TO LEARN MORE PLEASE CONTACT :
Jim DeMesa, MDCHIEF EXECUTIVE OFFICER
EMERALD HEALTH PHARMACEUTICALS
Bernie HertelVP FINANCE & COMMUNICATIONS
EMERALD HEALTH SCIENCES
T. 1 604 727 0106
T. 1 858 352 0622
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Thank you