| Name Of the Firm : | Umair Medicien Store |
| Zone : | CENTRAL |
| Range : | Jagatsinghpur |
| Police Station : | |
| Address : | Plot No.3795/4679 Khata No.1012/933 At-Akhunmohalla PO-Krushnanandapur PS-Tirtol Dist-Jagatsinghpur |
| RP Name : | Raghunath Swain |
| Registration Number : | 22094 |
| Competent Person : | |
| Qualification : | D.Pharma |
| Name of the Proprietor : | Md. Fazul Khan |
| R : | 27617 |
| RC : | 27618 |
| RX : | 10821 |
| RR : | |
| RRC : | |
| W : | |
| WC : | |
| WX : | |
| Date of Issue : | 8/22/2012 |
| Date of Expiry : | 8/21/2017 |
| Remarks : |