| Name Of the Firm : | Jagannath Medical Store, |
| Zone : | Central |
| Range : | Puri |
| Police Station : | |
| Address : | Plot No- 221, Kh No- 268/95, Room no- 1, At- Brahmakundi, Po- Charichhak, Dist-Puri |
| RP Name : | Soumyandra Ray |
| Registration Number : | 22535 /OPC |
| Competent Person : | - |
| Qualification : | D.pharm |
| Name of the Proprietor : | Sri Pramod Ku. Mohanty |
| R : | 27121 |
| RC : | 27122 |
| RX : | 10573 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 1/2/2012 |
| Date of Expiry : | 1/1/2017 |
| Remarks : |