| Name Of the Firm : | Maa Medicine Store |
| Zone : | Central Zone |
| Range : | Bhadrak |
| Police Station : | |
| Address : | At/Po : Bonth, Dist : Bhadrak Plot No.6337, Khata No.961 |
| RP Name : | Anita Jena |
| Registration Number : | 12747(O.P.C) |
| Competent Person : | -- |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Bijaya Nayak. |
| R : | BH-18424/R |
| RC : | BH-18425/RC |
| RX : | BH-5939/RX |
| RR : | -- |
| RRC : | -- |
| W : | -- |
| WC : | -- |
| WX : | -- |
| Date of Issue : | 11/1/2012 |
| Date of Expiry : | 2017-11-31 |
| Remarks : | Change of premises w.e.f. 01.11.2012 not Granted |