| Name Of the Firm : | Maa Taratarini Medicine Store |
| Zone : | Southern Zone |
| Range : | Ganjam I |
| Police Station : | |
| Address : | Asst no-117408,Word no-16,Plot no-1175,Khata no-263,R.C.Church Road, Berhampur |
| RP Name : | Sri Rabindra Kumar Padhy, |
| Registration Number : | 15183 (OPC) |
| Competent Person : | |
| Qualification : | D Pharma |
| Name of the Proprietor : | Sri K.Chandra Sekhar Prusty |
| R : | GAI3298 |
| RC : | GAI3299 |
| RX : | GAI3300 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 2010.05.12 |
| Date of Expiry : | 2015.05.11 |
| Remarks : |