| Name Of the Firm : | Divine Medical Store |
| Zone : | Southern Zone |
| Range : | Ganjam II Range |
| Police Station : | |
| Address : | Survey No. 1128 & 2229, Khata No. 238/29, At/P.O.- Chhanameri |
| RP Name : | Santosh Kumar Nanda |
| Registration Number : | 20109 |
| Competent Person : | |
| Qualification : | D. Pharma |
| Name of the Proprietor : | Kailash Chandra Sahu |
| R : | SLGAII-5225 |
| RC : | SLGAII-5226 |
| RX : | SLGAII-5227 |
| RR : | |
| RRC : | |
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| Date of Issue : | |
| Date of Expiry : | |
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