| Name Of the Firm : | Sri Jagannath Medicine Store, |
| Zone : | Central |
| Range : | Puri |
| Police Station : | |
| Address : | Plot No-1074,Kh.No-254,Room No-1, Chhaitana,Puri |
| RP Name : | Sri Trinath Pani |
| Registration Number : | 20959 /OPC |
| Competent Person : | - |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Sri Trinath Pani |
| R : | 25180 |
| RC : | 25181 |
| RX : | |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 2/24/2010 |
| Date of Expiry : | 2/24/2015 |
| Remarks : |