| Name Of the Firm : | Shree Jagannath Medicine Store |
| Zone : | Central Zone |
| Range : | Bhadrak |
| Police Station : | |
| Address : | At/Po:Sanakrushnapur, Dist: Bhadrak Plot No.1537/5639, Khata No.1153/258 |
| RP Name : | Gayatri Sahoo |
| Registration Number : | 11606 (O.P.C) |
| Competent Person : | -- |
| Qualification : | D.Pharm |
| Name of the Proprietor : | Sri Sarat Ranjan Nayak. |
| R : | BH-24356/R |
| RC : | BH-24357/RC |
| RX : | BH-9237/RX |
| RR : | -- |
| RRC : | -- |
| W : | -- |
| WC : | -- |
| WX : | -- |
| Date of Issue : | 1/22/2009 |
| Date of Expiry : | 1/21/2014 |
| Remarks : | Up to date Licence |