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Food Safety and Drug Administration, UP.

District - Sant Kabir Nagar

Certificate No. : SPSA417140L


Date 13/02/2023

Name of Owner/Applicant :SUNIL KUMAR PANDEY

Name of Firm :SHASHANK MEDICAL STORE

Address of Firm :,,Kalan,Mahobara, Sant Kabir Nagar, Uttar Pradesh,272176

District of Firm :Sant Kabir Nagar

You have succefully registered in new Online Drug Licence System with following details –

Name of Firm :SHASHANK MEDICAL STORE

Address of Firm :,,Kalan,Mahobara, Sant Kabir Nagar, Uttar Pradesh,272176

District of Firm :Sant Kabir Nagar

Licence Form Old licence No. New Licence No. Licence Issue Date Licence Validity

Form 21 BKKS- UP58210000551 07/06/2016 06/06/2026


2016/21/00036

Name Qualification WorkRole Registration No

SUNIL KUMAR PANDEY B.Pharma Pharmacist 58367

New Licence number shall be used for any future reference.

Licence No: UP58210000551


K G Gupta
Licensing Authority

Digitally signed by
Krishna Gopal Gupta
Date: 2023.02.13
14:33:08 IST

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