Republic of the Philippines

Department of Health
Food and Drug Administration
Civic Drive, Filinvest Corporate City
Alabang, Muntinlupa City

APPLICATION SUMMARY

General Information:

Reference Number: FDA-3000000195505

Authorization: License to Operate
Type of Application: Initial
Product Type: Drug
Primary Activity: Drugstore
Additional Activities: N/A

Establishment Information:

Name of Establishment: MIDTOWN PHARMACY

Owner of Establishment: Kent Zhaira A. Atilano
Tax Identification Number: 343778313
Opening Hour: 08:00 AM
Closing Hour: 9:00 PM
E-mail Address: kentzhairaatilano@gmail.com
Mobile: 09568170182
Landline:

Site Address:

Address Details: Lapu-Lapu Extension, Brgy. Zone 3

City/Town: Digos City
Province: Davao Del Sur
Region: Davao (Region XI)
GPS Latitude: 6.74435
GPS Longitude: 125.35660

Authorized Officer:

Name: Kent Zhaira Alforque Atilano

Designation: Owner
Type of Government Identification: Professional Regulation Commission
Identification Number: 0077597
Expiry Date: 27 August 2023

Qualified Personnel:
 Name Designation Gov't ID ID Number Expiry Date Birth Date

Kent Zhaira Pharmacist Professional 0077597 27 August 27 August

Alforque Regulation 2023 1997
Atilano Commission

Kendy Pharmacy Philippine P7549680A 13 June 2028

Villamor Assistant Passport
Jamco

This is not yet an Acknowledgment Receipt of your application. Within 7 working days you will
receive an assessment result which will indicate if your application or requirement is incomplete or
incorrect.

Applications received after 7:00 PM or during weekends/holiday will be considered filed on the
next working day.

Powered by TCPDF (www.tcpdf.org)