FORM 20
[See rule 61(1)]
Licence to sell, stock or exhibit (or offer) for sale, or distribute drugs by retail
other than those specified in [Schedules C, C(1) and X]
DR. NEELAM SANGRAM DESHMUKH.
1. DR. NEELAM SANGRAM DESHMUKH., DR. SAYALEE KAUSHIK PATIL,., DR. UTKARSHA SUSHAS PATIL.
DIRECTOR(s) of THREE MUSKETEERS MEDICAL PRIVATE LIMITED
is hereby licensed to sell, stock or exhibit (or offer) for sale, or distribute by retail drugs other than those specified in
[Schedules C, C (1) and X] of the Drugs and Cosmetics Rules 1945, *and to operate a pharmacy on the premises situated at
CITY SURVEY NO. 506/6, PLOT NO. 4, 1ST FLOOR, PULSE
SUPER SPECIALITY HOSPITAL, SADAR BAZAR, SATARA,. , TAL. AND DIST. SATARA,.
t
Tal : SATARA ( SATARA )
Pin : 415001 Phone: 7798922994 Mobile: 7798922994
subject to the conditions specified below and to the provisions of the Drugs and Cosmetics Act, 1940 and the Rules thereunder
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2.The licence unless sooner suspended or cancelled, shall remain valid perpetually. However, the compliance with the conditions
of licence and the provisions of the Drugs and Cosmetics Act, 1940(23 of 1940) and the Drugs and Cosmetics Rules, 1945 shall
be assessed not less than once in three years or as needed as per risk based approach.
The licence shall be in force from : 10.Nov-2024 to 09.Nov-2029 ** Area : 18.21 SqMts
3.Name (s) of R.Ps & Competent Person(s) in charge (C.P NOT authorized to SIGN in Retailer Bills):
RP-374477 - MR. SHUBHAM KASHINATH SHINDE.(BPH,),389163 - MR. RUTWIK DHANAJI JADHAV.(BPH,),323851 - MISS. SAYALI
SUDHIR KALE.(DPH,) 43068 - SUNIL SHAMRAO HUDDAR(DPH,),426434 - MR. NOMAN AYUB BAGWAN.(DPH,),318061 - MISS. ALIYA
ASHIF SHAIKH.(DPH,)
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4.Categories of Drugs : Drugs covered under the license
e-Signed on 02/05/2025 22:38:34
TPAV # 635789DQI4
rs
MISS. ALIYA ASHIF SHAIKH. (R.P)
RUDERAMANI VIRBHADRAPPA PONGALE
Licensing Authority & Assistant Commissioner
Licence no: MH-SAT-577618
Food & Drugs Administration, SATARA
:On: 02.May-2025
Conditions of Licence
1. This licence shall be displayed in a prominent place in a part of the premises open to the public.
2. The licensee shall comply with the provisions of the Drugs and cosmetics Act,1940 and the Rules thereunder for
do
the time being in force.
3. The licensee shall report to the Licensing Authority any change in the qualified staff in charge within one month
of such change.
4. No drug shall be sold unless such drug is purchased under cash or credit memo from a duly licensed dealer or a
duly licensed manufacturer
5. The licensee shall inform the Licensing Authority in writing in the event of any change in the constitution of the
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firm operating under the licence. Where any change in the constitution of the firm takes place, the current licence
shall be deemed to be valid for a maximum period of three months from the date on which the change takes
place unless, in the meantime, a fresh licence has been taken from the Licensing Authority in the name of the firm
with the changed constitution.
** The Licensee shall not Claim any equities or rights in the property under reference on strength of this licence.
**This Licence shall remain valid if licensee deposits a licence retention fee before the expiry of a period of every
succeeding five years from the date of its issue unless, it is suspended or cancelled by Licensing Authority.
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Note: Prev Dtls - 275226~PULSE PHARMACY( UNIT OF - THREE MUSKETEERS MEDICAL PVT LTD)~DR. NEELAM SANGRAM DESHMUKH.~CITY SURVEY NO. 506/6, PLOT N
This License/Certificate is eSIGNED . Physical Signature is NOT Required.
District FDA File No Type:Change in Firm Name Form [20] Licence No Old LIC No
SATARA 275226 NAM-1534586-09/04/2025 MH-SAT-577618 -
For online Third Party Approval Verification; Go to fdamfg.maharashtra.gov.in & Click TPAV butto 02/05/25 N I C
This is an electronically generated e-Endorsement. ORIGINAL,DULY Signed follows through POST !!!
