| Name Of the Firm : | Shree Jagannath Medicine Store |
| Zone : | Central Zone |
| Range : | Bhadrak |
| Police Station : | |
| Address : | At/Po:Asurali, Dist: Bhadrak Plot No.2235, Khata No.505 |
| RP Name : | Sri Sukadev Sahoo |
| Registration Number : | 10726(O.P.C) |
| Competent Person : | -- |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Sukadev Sahoo |
| R : | BH-14696/R |
| RC : | BH-14697/RC |
| RX : | BH-4565/RX |
| RR : | -- |
| RRC : | -- |
| W : | -- |
| WC : | -- |
| WX : | -- |
| Date of Issue : | 1/27/2011 |
| Date of Expiry : | 1/26/2016 |
| Remarks : | Change of premises w.e.f. 27.01.2011 not Granted |