| Name Of the Firm : | Shree Krishan Medical Store |
| Zone : | Central |
| Range : | Puri |
| Police Station : | |
| Address : | Plot No-1493, Kh. NO-752/182, At- Block Chhak, Siripur,Po-Pipili,Puri |
| RP Name : | Sri Tapas Kumar Dash |
| Registration Number : | 5777/OPC |
| Competent Person : | - |
| Qualification : | D-Pharma |
| Name of the Proprietor : | Sri Kshetra Mohan Dash |
| R : | 24818 |
| RC : | 24819 |
| RX : | 9468 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 9/29/2009 |
| Date of Expiry : | 9/28/2014 |
| Remarks : |