| Name Of the Firm : | Shree jagannath medicine store |
| Zone : | Central |
| Range : | Puri |
| Police Station : | |
| Address : | Plot No- 127, Kh no- 368/20, jankia, po- gadasahi,Dist-Puri |
| RP Name : | Bibhuti bhusan samantaray |
| Registration Number : | 9695/OPC |
| Competent Person : | - |
| Qualification : | D.pharma |
| Name of the Proprietor : | Bibhuti bhusan samantaray |
| R : | 15834 |
| RC : | 15835 |
| RX : | |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 2/14/2003 |
| Date of Expiry : | 2/11/2018 |
| Remarks : | Premises change 12.02.08 |