| Name Of the Firm : | Glaze Pharma |
| Zone : | Southern Zone |
| Range : | Ganjam I Range |
| Police Station : | |
| Address : | Asst. No-12960 Word No-17New Bus Stand Road,Berhampur |
| RP Name : | |
| Registration Number : | |
| Competent Person : | Sri Subash Chandra Pradhan |
| Qualification : | HSC |
| Name of the Proprietor : | Sri Subash Chandra Pradhan |
| R : | |
| RC : | |
| RX : | |
| RR : | |
| RRC : | |
| W : | GAI 994 |
| WC : | GAI995 |
| WX : | GAI 996 |
| Date of Issue : | 1/15/2005 |
| Date of Expiry : | 1/14/2015 |
| Remarks : |