v cab sur a i itninu apoteker indonesia a · sesuai dengan sk iai pd jawa timur no: kep-250/skp/pd...
TRANSCRIPT
-v
IAIPengurus Cab arry Sur ab aY a
ITNiNU APOTEKER INDONESIA*n".r.r, ' Gunawangsa MERR Tower A' LL2 No'OA203' surabaya
Telp,081230892266 / e-mail ' iaisur:rbaya@fmail com
Dengan ini menerangkan bahwa nama-nama yang terlampir pada Surat Keterangan ini telah
melakukan kegiatan Pengabdian Masyarakat dalam rangka World Pharmacists Day 2019
Website, 1,ww.iaisurabaya'org
SURA ANT KET RAN
Nomor ; Ket-217 tPC IAI/Surab ayalXA2Ol9
berupa:
3 SKP
Demikian agar dapat digunakan semestinya'
Surabaya, 27 November 2019
IKATAN APOTEKER INDONESIA
PENGURUS CABANG SURABAYA
()' iri' nc
Ketua,
Dra. Liza Pristianty, M.Si., MM., A
NA 15111962025067
Gesnirf l,icu,!us cA8Ar,l6
su.t$At.{ NA. 0212198s025071
eni, S.Farm., M.Sc., Apt.
m0)
.AtAr
*PEMASANGANSPANDUKDITEMPATPRAKTEKKEFARMASIAN,
Sesuai dengan SK IAI PD Jawa Timur No: Kep-250/SKP/PD IAUJawa Timur/DU2019
mendapatkan Satuan Kredit Partisipasi (SKP) Pengabdian sebesar:
Sekretaris,
Lampiran Surat Keterangan Ikatan Apoteker Indonesia Pengurus Cabang Surabaya NomorKet-27 7 lP C IAI/SurabayaXI/20 i 9
NO NAMAAPOTEKER INSTANSI1 Abdul Aziz, S.Farm., Apt. Rumah Sakit Premier Surabaya
Abdunnafik Budiana, S.Farm., Apt A tek Sambikerep3 Ade Astri Pumamasari, S.Farm., Apt Rumah Sakit Islam Surabaya A. Yani4 Ade Kumiawan Pribadi, S.Farm., Apt. PT Surya Dermato Medica Labs5 Adriana Meliasari Yacob, S.Farm., Apt. PT Usfi6 Agatha Maylie Wijatno, S.Farm., M.Farm., Apt Rumkital Dr. Ramelan7 Agustina Maharani, S.Farm., Apt Viva Apotek Medokan Sawah8 Aisianti Nur Kartini, S.Farm., Apt tek Natasha 1
9 Aisya Arani, S.Farm., Apt. Rumah Sakit Premier Surabayal0 Akatsuki Frederica K.T., S.Farm., Apt A tek Layza Farma11 Dra. Alberta Florence, Apt Apotek Segaran12 Albertina Kriswardhani, S.Farm., Apt. PT Distriversa Buanamast3 Albertus Heri Wibowo, S.Farm., Apt A k Vins14 Alfr Rohmah Aulia, S.Farm., Apt Klinik Dr. Eko Manukant5 Alfina Illiyin, S.Farm., Apt. Klinik Utarna Altair Politeknik Pel
AJia Puspitasari, S.Farm., Apt. PT Zap Clinict7 Amanda Nur Aini, S-Farm., Apt. PT Ednu Surya18 Amelia, S.Si., Apt. RSIA Husada Bunda19 Amitasari Damayanti, S Si , M.Sc., Apt Rumkital Dr. Ramelan20 Alanda Rachmanti, S.Farm., Apt RSU Haji Surabaya2t Anastasia Dessy Kristianti, S.Farm., Apt. PTS a Dermato Medica Laboratories22 Andri Utomo, S.Farm., Apt RS Onkologi Surabaya23 Aadriana Yustisia Febiyani, S.Farm., Apt A tek Centro Farma Surabaya24 Anfa Nefisa, S.Si., Apt PT Distriversa Buanamas25 Angela Woro Dwi Priharina, S.Farm., Apt PT Surya Dermato Medica Laboratories26 Angelina Arianti, S.Farm., Apt PT Surya Dermato Medica Lab27 Angrelefa Honoarj o, S. Farm., M. Farm-Klin-, Apt Apotek Latovi28 Anik Sugiarti, S.Farm., Apt. RSIA Putri Surabaya29 Anisa Rachmawati Suryawan, S.Farm., Apt Rumah Sakit Islam Surabaya A. Yani30 Anisyah, S.Si., Apt. Apotek Citra Farma3t Anita widjaja. S. Si.. Apt Apotek Saba B
Anna Amelia Novita Sabami, S-Farm., Apt RSK St. Vincentius A Paulo SurabayaJJ Altonius Bayu Aribowo, S.Farm., Apt RS Mata Undaan Surabaya
Ardaiyah, S.Si., Apt Apotek Diah Farma35 Ari Suhartini, S.Farm., Apt. Apotek lndah Farma 2
Arianna Margaretha, S.Farm., Apt. Apotek 8
5t Arina Nur Ngaini, S.Farm., Apt. Apotek Tiara Satelit38 Arina Utami Nuralia, S.Farm., Apt Klinik Pratama Sartika 3639 Arrahma Nur Ayumi, S.Farm., Apt. RSIID Dr M Soewandhie40 Arrida Sani, S.Farm., Apt Klinik Sier41 Arsanti Ratrihening, S.Si., Apt Apotek Setia42 Arumentin Diana, S.Farm., Apt K-24 Darmo Indah43 Atang Senjaya, S.Farm., Apt Apotek Gabriel44 Aty Dwijayanti, S.Farm., Apt. RSIA Putri Surabaya45 Aqli&girana, S.Farm., Apt PT Distriversa Buanamas
Yuhamanda Putri, S.Farm., A {potek Benowo Appotik47i. \y@g $r$as rutri, S.Farm., Apt RSI Jemursari Surabaya482 tzffidlsaTut Muna, S.Farm., Apt. RS Premier Surabaya49 $q;[l$fa Maria Femandez, S.Farm., Apt. Apotek K24 Merr Kalijudan50 Nsafa'Setyo Venanti, S. Farm., Apt RSK St. Vincentius A Paulo (Rkz) Surabaya
FENGURUS CABAI.IG
SURABA\|,A
w
2
16
32
34
36
46
Lampiran Sumt Keterangan Ikatan Apoteker Indonesia Pengurus Cabang Surabaya Nomor :
Ket-27 7 lP C IAI/Surabaya,XIl20 I 9
PENGURUS CAEANG
SURAEAYA $
INSTANSINO NAMA APOTEKER5l Billy Surya Saputra, S.Farm., Apt PT Sandai Farma
Apotek E-Medica Karang Menjangan52 Binar Indah Marwati, S.Farm., Apt.Apotek N-2553 Brigitta Wigati Mahalani, S.Farm., AptKlinik Pratama Anugerah Mulia54 Dra. Buana Dewi, AptPT Heptasari Unggul55 Dra. Budiastuti, M.Si, Apt.
56 Dra. Caecilia Hendrata, Apt Klinik VincentiusApotek Amajing lan57 Cashin Japlin, S.Farm., Apt
58 Catharina Agustin, S.Si, Apt Apotek Tiara Bukit DarmoPT Usfi59 Catharina Maya Anggraini, S.Farm., AptApotek Trans Farma60 Cecilia Benita Sanjaya, S.Farm., Apt.
Apotek Viva Siwalankerto The Square6t Cecilia Ratih Puspitasari, S.Farm., Apt.Rumah Sakit Katolik St. Vincentius A Paulo62 Chrisantus Surya Prasetya, S.Farm., Apt
63 Christentia Steffany, S.Farm., Apt RS Onkologi Surabaya
PT Sandai Farma64 Christian Yanuardi Soetikno, S.Farm., AptPoliklinik Vincentius65 Dra. Christina Santika, Apt.RS Adi Husada Undaan Wetan Surabaya66 Christina Thresdy Wijaya, S.Farm., Apt
67 Citra Kumiasari, S.Farm., M.Farm-Klin., Apt RS Adi Husada Undaan Wetan Surabava
RS Katolik St. Vincentius A. Paulo Surabaya68 Claudia Febryanti Ripo Moda, S.Farm., AptPT Surya Dermato Medica Laboratories69 Claudia Renata Christy Winaryo, S.Farm., Apt., M.M.PT Sri Buana Sumber Lestari70 Cynthia Devina. S.Farm.. Apt.PBF PT Hari Sehat7t Cynthia Dewi Sutanto, S.Si., AptApotek Nindya72 Cynthia Zain Dermayati, S.Farm., Apt.Apotek Prasetya73 Daud Dirga Agus Oentono, S.Si., Apt. M.AApotek Amira74 Debby Januari K, S.Farm., AptViva Generik Kebonsari7< Dessy Iqrasardy,S.Farm.,AptRSUD Dr. Moh. Soewandhie Surabaya76 Desy Ermawati, S.Farm., Apt.PT Surya Dermato Medica77 Devi Ekawati, S.Farm., Apt.Apotek Berlin 378 Devi Kartika Sari, S.Si., AptRumah Sakit Royal Surabaya79 Devi Saraswati, S.Farm., AptApotek Semampir Raya80 Devvi Hendra Hianni, S.Farm., AptApotek Maria8l Devy Hendrata, S.Si., Apt.Apotek Azzam Farma82 Devyani Diah Wulansari, S.Farm., M.Si., Apt.Rumah Sakit Islam Surabaya A. Yani83 Dewanti Wardhani, S.Farm., Apt.Apotek Natasha 3 Surabaya84 Dewayani Laksmi Sejati, S.Farm., Apt.Apotek Seruni85 Dewi Agustin, S.Farm., Apt.Rumah Sakit Royal Surabaya86 Dewi Aprillia Sutikno, S.Farm., AptApotek K-24 Medokan Ayu87 Dewi Cahyani, S.Farm., Apt.
Dewi Paskalia Andi Djawaria, S.Farm., M.Farm., Apt RS Adi Husada Undaan Wetan Surabaya88
Apotek Gabriel89 Dewi Puspita, S.Farm., AptDra. Dewi Ramdani, M.Farm.Klin., Apt RSU Haji Surabaya
Apotek Asti Farma9l Dewi Wulan Setianingrum Putri W., S.Farm., Apt.K24 Balongsari Tama Suabaya92 Dia Ambarsari, S.Farm., Apt.
93 Dian Kusuma Wardhani, S.Farm., M.Farm., Apt RSUD Dr. Mohamad SoewandhieRSIA Putri Surabaya94 Dian Rakhmawati, S.Farm., AptViva Apotek Donowati95 Dina Afiana, S.Farm., AptApotek Novem96 Dina Dewi Kartika, S.Si., Apt.Apotek Watsons Tunjungan Plaza97 sEEff Mesturah, S. Farm.. Apt.
9JI' 4e'Rldtrnu*ati, S.Farm., Apt. PT Sandai Farma
Viva Apotek Siwalankerto The Squares I oin'n{hrfowati, S.Farm., AptPT Surya Dermato Medica Laboratoriesr&t.pMt"rjkfri Indarti, S.Farm., Apt
90
Lampiran Surat Keterangan Ikatan Apoteker lndonesia Pengurus Cabang Surabaya NomorKet-27 7 lP C IAJ/Surabaya.XIl2O I 9
NO INSTANSINAMA APOTEKERI 0 I Dwi Agung Nugroho, S.Farm., Apt RSU Haj i Surabaya
RSI Jemursari Surabaya102 Dwi Hamdani, S.Farm., Apt103 Dwi Octamy Sari, S-Farm., Apt Apotek Marguna Sehat
104 Dyah Agustine Widyantie, S.Farm., Apt RSI Jemursari Surabava
105 Echi Solichah Pumawati, S.Farm., Apt. Klinik Pratama Bp Gunungsari106 Ega TuRSlAna Dewi, S.Farm., Apt. Apotek Viva Bumi Indah
107 Eka Kurniawati, S.Farm., Apt PT Kembang Bulanr08 Elaine Catherina Mulyono, S.Farm., Apt. Apotek Aura109 Dra. Elisabeth Sunur, Apt Apotek Lestari Farma
Dra. Elisawati Wonohadi, Msi., Apt Apotek Dipol1l Elke Wiyono, S.Farm,. Apt Total Life Clinicfi2 Elly Mardiani S.Farm., Apt Apotek Cheva Farma
il3 Ely, S.Farm., Apt Apotek ApolloRS Adi Husada Undaan Wetan SurabayaEmi Puspasari, S.Farm., Apt.
ll5 Emiliana Evodia Medya Kusuma W., S.Farm., Apt. Apotek Betjik Djojoll6 PT Rezeki Husada UtamaDra. Emma Sundrawati Tanuwidjaja, Apt.
PT Zap Clinic117 Endah Rizky Wulandari, S.Farm., AptI l8 Endang WaRSIAna, S.Si., Apt RSUD Dr Mohammad Soewandhie Surabaya
Apote k Kasih Sehatl19 Endrilius'Ilieniendra Hendrawan, S. Farm., Apt120 Enny, S.Si., Apt Apotek Libra121 Endra Putra Prasetiyo, S.Farm., Apt. Klinik Pratama Prameswari
Erik Febriyanto, S.Farm., Apt Apotek Manggala Farma
RS Katolik St. Vincentius A Paulo123 Erlin Aurelia, S.Farm., Apt.
124 Erlina Handayani, S.Farm., Apt Apotek PrayogoApotek Abdi MuliaDra. Erlina Tjandra, Apt
126 Dra. Emawati Santoso, Apt. Apotek Mentari Farma
127 Emawati Tanudjaja, S. Si., Apt PT Surya Dermato Medica Laboratories
r28 Emawati, S.Farm., Apt. Rumah Sakit Royal Surabaya
Apotek Tiara 2129 Emawati, S.Si., Apt.r30 Emiawati, S.Farm., Apt Klinik Nayaka Husada 0l Surabaya
Rafa Farma Bulak JayaErrisa Sulfiana, S.Farm., M.Kkk., Apt132 Errita, S.Si., Apt Apotek Klampis Farma
PT Surya Dermato Medica LaboratoriesEsther Devianty Catherine Siagian, S.Farm., Apt134 Esti Dwi Kusuma, S.Farm., Apt Apotek Cikal
Apotek Sugih Waras MakmurEvelin Hanusia lndarto, S.Farm., Apt136 Ezra Immanuelly Pribadi, S.Farm., Apt. RS Premier Surabaya
PT Surya Kemenangan Sejahtera137 Fanny Gunawan, S.Farm., Apt138 Fanny, S.Farm., Apt Apotek Fortune
r39 F aradiza Fadlun, S.Farm., Apt. Apotek Mustika Jaya I
Rumah Sakit Islam Jemursari Surabava140 Farah Meutia, S.Farm., Apt141 Fatimatus Zuhro, S.Farm., Apt Apotek K-24 Wonokusumo
Apotek K-24 Men Kalijudan142 Febe Debora Jakoeb, S.Farm., Apt.143 Felicia Esterina Tanuwijaya, S.Farm., Apt. PBF PT Mensa Binasukses
Apotek Megah Terang144 Femylia Wijaya. S.Farm.. Apt.145 Fenny Melianita, S.Si., Apt PT Surya Dermato Medica Laboratories
146 ,Fpgqr Diana Yusup, S.Farm., Apt. Apotek Evelyn143( , S.Si., Aptowl o Apotek Kota Baru
lF8 Ftf,'iAFf {yna Herdhiani, S.Farm., Apt Puskesmas Kalijudan
4s EFrNIv$anah Zdfa, S.Farm., Apt RSU Haji Surabaya
Klinik Utama Universitas 17 Agustus 1945ri(I y'fi uningtiyas, S. Farm., Apt
PENGURU6CAEANG
SURABAYA trI
ll0
t14
122
t2s
l3l
133
135
Lampiran Surat Keterangan Ikatan Apoteker Indonesia Pengurus Cabang Surabaya NomorKet-27 7 IPC IAVSurabaya.XIi2O 1 9
PENGURUSCABANG
SURABAYA r
NO NAMAAPOTEKER INSTANSIl5l Filza Nur Aini, S.Farm., Apt Rumah Sakit Islam Jemursari Surabaya
ts2 Fitri Marita, S.Si., Apt Rumah Sakit Adi Husada Kapasarr
153 Fitri Rachmawati, S.Farm., Apt Apotek K24-Menanggal154 Fitri Wulansari, S.Farm., Apt Klinik Nurani Jaya 66
155 Fitri Yuratni, S.Farm., Apt. Apotek Bita Medika156 Fitroh Rachmawati, S.Farm., Apt Apotek Primadona157 Francisca Hartuti Rahayu, S.Si., Apt Apotek Rahardja Farma158 Fransisca Rossa, S.Si., Apt. Klinik Utama Raddina159 Fransiska Diyah Christiningroem, S.Farm., Apt RS Royal Surabaya
160 Frianty Dian Anggraeny, S.Farm., Apt. Apotek Natasha 2
I 6 I Frida Magdalena, S.Farm., Apt. PT Surya Dermato Medica Laboratories162 Frinka Martha Rachmawati, S.Farm-, Apt Rumah Sakit Islam Surabaya A. Yani163 Galuh Candra Susanti, S.Farm., Apt Apotek Sabilillaht64 Gede Wika Ariawan Putra, S.Si., Apt. RSU Haji Surabaya
165 George Hossyaldo Putra, S.Farm., Apt. PT Surya Dermato Medica Laboratories166 Gina Astari Usman, S.Farm., Apt. PT Distriversa Buanamas
167 Gracia Juanita, S.Farm., Apt PT Surya Dermato Medica Lab168 Gretta Niken Purbosari, S.Farm., M.Farm.Klin., Apt. Rumkital Dr. Ramelan, Surabaya169 Hani Hamada, S.Farm., Apt. PT Sri Buana Sumber Lestari170 Harris Kristanto, S.Farm., Apt., M.M.171 Hayyinah Mahmudah, S.Far., Apt Apotek Natasha 4
172 Helen, S.Farm.,,Apt. Apotek Medpoint Lontar173 Helena Ratna Tri Lestar,i S.Si.,,Apt PT Surya Dermato Medica Laboratories174 Hellen Erlina, S.Farm., Apt. Apotek Beatrix Farma175 Hendrianto, S.Farm., Apt Apotek Cemara Medika176 Henny Kumiawati, S.Farm., Apt. RS Premier Surabava
177 Henny Rudi Astutik, S.Farm., Apt. Klinik Pratama Nwani Jaya 83
178 Heny, S.Si., Apt PT Usfi179 Dra. Hera Lukitawati, Apt Apotek Asri Farma180 Dra. Herawati Julia, Apt Apotek Hikmahl8l Herdhan Scirpy Putri, S.Farm., Apt. Apotek K24 Kalibutuhr82 Herlina Ekawati, S.Si., Apt Apotek Kebonsari183 Hermina Soetjipto, S.Si., Apt. Apotek Agape184 Hilda Candraria, S.Si., Apt. PT Surya Dermato Medica Laboratories185 Drs. I Nyoman Arnawan, Apt., Mm RSAL Dr. Ramelan Sby186 In Estuningsih, S.Si., Apt Apotek Libra 2187 lna Susanti, S.Si., Apt Apotek Singgapur Farma188 Indrayani, S.Si., Apt. Klinik Kebangkitan189 Inosensia Pajo Situ Apotek Santa Maria Tak Bercela190 Intan Ayu Kartika Sari, S.Farm., Apt RS Premier Surabayal9l Indra Wulandari, S.Farm., Apt. Apotek K-24 Dharmahusada192 Irene Dewi, S.Farm., Apt Apotek Sumber Sehat193 lmi Fahmawati Dervi, S.Farm., Apt. RSU Haji Surabaya
194 Irwan Gondowardoyo, S.Si., Apt Apotek Tiara Citra Raya195 Ita Octafia, S.Farm., Apt RSLID Dr M. Soewandhie196 -Ieqe$gt Nisa', S.Farm., Apt Viva Generik Kebonsarir98 '$tny-l@rtono Chendr4 S. Farm., Apt Instalasi Farmasi RSIA Husada BundalSs :@rs{irlviarto, ept RS Gotong Royong Surabaya
tgg Jqhicalplf,rissa Selan, S.Farm., Apt Apotek Dukuh Setro
26 hrkn-floria Marilim, S.Farm., Apt. Apotek Keissa
PT Usfi
tr
NO NAMA APOTEKER INSTANSI20t Jessica Gunawan, S.Farm., Apt PT Sandai Farma
202 Jihan Farhana, S.Farm., Apt Klinik Nayaka Husada 42
203 Juliana Suparji, S.Si., Apt. Apotek Sonia
204 Juliyana Puspa Sari, S.Farm., Apt. Rumah Sakit Gotong Royong205 Juriani, S.Farm., Apt. Apotek Moro Sehat
Dra. Juwita Kumiawati, Apt.206 Apotek Duta Farma
207 Kartika Inggraeni Hioe, S.Si., Apt. Apotek Jireh
Kevin Goenawan, S.Farm., Apt. Apotek Cemara Medika208
209 Kim Stephanie Lee, S.Farm., Apt PT Surya Kemenangan Sejahtera
210 Kristina Eni Trisnowati, S.Farm., Apt. RS RKZ Surabaya
211 Kumia Yulianti, S.Farm., M.Farm-Klin., Apt. Rumkital Dr. Ramelan
2t2 Kurniawahyu Islamiyah, S. Farm., Apt Apotek K24 Balongsari Tama213 Lailil Muharromah, S.Farm., Apt Apotek Mz-S
214 Laily Asmaningsih, S.Farm., Apt KF Balongsari Tama
Laurin Anastasia Winarso, S.Farm., M.Farm.Klin., Apt RS Adi Husada Undaan Wetan Surabaya
216 Leila Miftahun Ni'mah, S.Farm., Apt PT Zap Clinic217 Lendy Nugroho Wisnu Murti, S.Si., M.Farm.Klin., Apt. RSU Haji Surabaya
218 Lenny Fatma Dewi, S.Farm., Apt Apotek Santa Maria Tak Bercela219 Dra. Lenny Pangestu, Apt Apotek Grace Farma
220 Lestari Setyorini, S.Farm., Apt RS Haji Surabaya
221 Drs. Lestiono, Sp.FRS., Apt Rumkital Dr. Ramelan
222 Levy Natali4 S.Farm., M.M., Apt RS Adi Husada Kapasari
Libra Pelangi, S.Si., Apt. PT Mitra Artha Perkasa
224 Lili Dewi Hartono, S.Farm., Apt. Apotek MelianaLilik Mafulah, S.Si., Apt Klinik Utama Kartika
226 Lilyana, S.Farm., M.Farm., Apt RS Premier Surabaya
227 Liman Setiawan, S.Farm., M.Farm.Klin., Apt. Rumah Sakit Adi Husada Kapasan
228 Linda Cromasvera, S.Si., Apt Rumkital Dr. Ramelan
229 Linda Hanafiah, S.Farm., Apt. RSUD Dr M. Soewandhie Sby
230 Linda Setyowati, S.Farm., Apt Apotek Duta Farma IILindawati Darmawan, S.Si., Apt Apotek Adam Farma
232 Lindia Rahmawati Sulaiman, S.Farm., Apt. Apotek K24-WiyungLinggawati, S.Farm., Apt Apotek Abdi Mulia 3
234 Lintang Hf, S.Farm., Apt RS Premier Surabaya
23s Dra. Listiana Kusuma, Apt Apotek Listi Farma
236 Lita Filzatil Fitri, S.Farm., Apt. PT Lab Medika Seiahtera
237 Lubna Lukluk, S.Si., Apt Apotek Rahardjo
238 Lucia Jenny Linawati, S.Si., Apt. PT Usfi239 Luciana Tri Wahyuni,. S.Farm.,.Apt Apotek Farmasiana
240 Lucy Awiyanti, S.Farm., Apt. Apotek I 78
241 Lu'lu Solihah, S.Far., Apt Klinik Al-Fithrah242 Lusia Helvanita, S.Farm., Apt. PT Interatlas Mumi243 Dra. Lusiwati lakrawala Mfarmklin, Apt. Apotek Valentino244 Lutfiana Rakhmawati, S.Farm., Apt RS Islam Jemursari Surabaya
Lutiana Putri Nastiti, S. Farm.,Apt Apotek Ibunda
246 I.y4da Catur Kristya Dewi S. Farm., Apt Klinik Annabelle's Skin Care
2kp Reza Kartika P. R , S. Farm., A RS Katolik St. Vincentius A Paulo
resia Anggreani Barut,S. Farm.,Apt Apotek K24 Ngagel Rejo
24,9 Ifr. v rfihm Purwanta, Dra., M.Sc., Apt. Apotek Kota Baru
t'\ovita, S.Farm., Apt Puskesmas Gundih
FEI1GURUS CT,BATIG
S!RAEA",A
Lampiran Surat Keterangan Ikatan Apoteker Indonesia Pengurus Cabang Surabaya Nomor :
Ket-277 /PC IAI/Surabaya/Xl/20 19
215
223
225
231
233
245
?.W
tse
Lampiran Surat Keterangan Ikatan Apoteker Indonesia Pengurus Cabang Surabaya Nomor :
Ket-27 7 lP C IAVSurabayaD(I/2O I 9
NO NAMA APOTEKER INSTANSI2st Marthalina Susanti, S.Farm., Apt PT Graha Farma Lestari252 Maruti Widihadiningtyas, S.Farm., M.Farm.Klin., Apt. Rumkital Dr. Ramelan Surabaya
253 Dra. Masriani, Apt Apotek Okta254 Masrufah, S.Farm., Apt. Apotek Ben Mario255 Maya Dwiyarti, S.Farm., Apt PT Surya Dermato Medica Laboratories
256 Mega Puspita Sari, S.Farm., Apt. PT Eskol Surya Anugerah
Mei Trianasari, S.Farm., Apt Apotek K24 Jemursari
258 Meifi Carolina Setiawaty, S.Si., Apt Apotek Sampurna Farma
2s9 Meilia Christine Tentua, S.Farm., Apt Viva Apotek Bendul Merisi260 Melisa Margaretha, S.Farm., Apt Apotek Melisa Farma
26t Melissa Kartika, S.Si., Apt. Apotek Family Farma
262 Mellyshellyna Rantaninglyas, S.Farm., Apt Apotek Mekar Rejeki Farma
263 Miftahul Jannah, S.Farm., Apt. Tirta Medical Centre
264 Mitasari Yuni Rahmawati, S.Farm., Apt Apotek Rafa Farma Bulak Jaya
265 Muhammad Salim, S.Farm., Apt. RS lslam Jemursari Surabaya
Muhammad Tomy Imansyah, S.Parm, Apt Viva Apotek Petemon Barat Surabaya
267 Munira, S.Farm., Apt. Apotek Amira268 Nadya Rahma W., S.Farm., Apt Apotek Dryn269 Dra. Nancy Arif, Apt. Klinik Pratama Elvon
Nanik Safitri, S.Si., Apt. Apotek Barata Jaya
271 Natalia Tumilaar, S.Farm, Apt Rumah Sakit Adi Husada Kapasari Surabaya
272 Dra. Natalya Budiwidjaja, Apt Apotek Sumber Farma
273 Natassya Yolanda, S.Farm., Apt. RSK St. Vincentius A Paulo Surabaya
Nevi Rahmi Alfiasari, M.Farm.Klin., Apt RSUD Dr M Soewandhie
275 Nevyta Fitriandasari, S.Farm., Apt. Klinik Nayaka Husada 03 AsemrowoNi Made Dwi A-nggraeni, S.Farm., Apt Apotek Dina Estetika
277 Dra. Ni Made Lely Nawaksari, Apt Apotek DiponegoroNidya Anggraeni Putri, S.Farm., Apt. Rumah Sakit Royal Surabaya
Nika Lestyaningtyas, S.Farm., Apt. Rumah Sakit Gotong Royong Surabaya
280 Nike Yolanda Aditya, S.Farm., Apt. RS Islam Jemursari Surabaya
28t Nina Maria Rosdiana, S.Farm., Apt. Apotek Sambikerep
282 Nining, S.Farm., Apt. Klinik Pratama Ranap Bersalin Al-Azhar283 Nisa Qurrota A'yun, S.Farm., Apt. Apotek Viva Jetis Kulon284 Dra. Norastini Tondowidjojo, Apt Apotek Polyfarma 61
285 Novia Kasih Wardani, S.Farm., Apt. PT Sarana Usaha Sejahtera Insanpalapa
286 Novianti Wijaya, S.Farm., Apt. Apotek Evelyn287 Novita Suryawati, S.Farm., Apt Apotek K-24 Wonokusumo288 Novita Suryawati, S.Farm., Apt Apotek K24 Wonokusumo
Novita, S.Farm., M.Farm., Apt RS Katolik St. Vincentius A Paulo Surabaya
290 Noviyanti, S.Si., Apt. RSUD Dr. Mohamad Soewandhie Surabaya
291 Nuke Saswita, S.Si., Apt. Apotek Sas Farma
292 Nuning Farida, S.Farm., Apt. Apotek Pulosari
293 Nur Afiah, S.Farm., Apt Apotek KitaNur Andriani, S.Farm.,Apt Apotek Kimia Farma Lontar
295 Nur Chaulah, S. Farm., Apt RSUD Dr M. Soewandhie
.!Lr1 f adilah, S.Farm., Apt PT Sandai Farma
2w. -2fibQf@stin Ayumuyas, M.Farm.Klin., Apt RSU Haji Surabaya
€$ $niio?qa t-atifa Dewi U.r.S., S.Si., Apt. Apotek Alpha Farma
w9 $u'uii ,i $ofuan, S.Si., Apt Apotek Boytea- , S.Farm., Apt Apotek Balongsari
FENGUPIJS CABAIIGSLRAg,l)'A $
257
266
270
274
276
278279
289
294
296
'Nur'lr,
NO INSTANSI301 Dra. Nyimas Fatria Kumaeny, Apt., M.Kes Apotek Wijaya Surabaya
302 Octy Hapsari, S. Farm., Apt Apotek Hapsari
303 Oelva Dianawati, S.Farm, Apt Apotek Sherwin
304 Oka Bolton, S.Farm., Apt PT Distriversa Buanamas
305 Okta Dwiana Rizqa, S.Farm., Apt Puskesmas Pucang Sewu
306 Ong Mee Ling (Lina), S.Si., Apt. Klinik Medis Pusura Balongsan
Pauline Christiati Yoheni Dwi Astuti, S.Farm., Apt RS Adi Husada Undaan Wetan Surabaya
308 Petrus Mikhael Rusli Odja, S.Farm., Apt Rumah Sakit Royal Surabaya
309 Pipin Vemilia, S.Farm., Apt. Viva Apotek Medokan Sawah
310 Pri Yuni Madurati, S.Farm., Apt Apotek K2,l Jemursari
3lr Priska Alya Azisa, S.Farm., Apt. Apotek Kurma
3t2 Putu Wulan Setiawati, S.Farm., Apt. Apotek Farmarin
313 Qisti Robani, S.Farm., Apt. Apotek Pahala Ketintan g
314 Qowiyatul Amanah., S.Farm., Apt. Apotek Mitra Medicare315 R. Yudho Pramono, S.Farm., Apt Rumah Sakit Onkologi Surabaya
316 Ragil Sediyaning Utami, S.Farm., Apt RS Katolik St. Vincentius A Paulo
317 Randy Tejonegoro, S.Farm., Apt. Medece Kosmetika Indonesia
318 Ranti Martha Apriani, Apt. RSUD Dr. M. Soewandhie Surabaya
319 Ratna Sari Dewi, S.Farm.. Apt. Apotek Pharmacare
320 Ratnawati Tandihardjo, S.Si., Apt Apotek Agung Farma
321 Dra. Ratnarvati Wanamulia, Apt Apotek TanjungSZZ Regina Citra Dewanti, S.Farm., Apt RS Katolik St. Vincentius A Paulo
)23 Reny Agustinawati, S.Si., Apt. Apotek Al-Nawawi324 Resti Pratiwi, S.Farm., Apt RS Premier Surabaya
32s Reta Djenis, S.Si., Apt Apotek Mentari Farma - Surabaya
326 Retno lndah Ningrum, S.Farm., Apt Klinik Biddokkes A. Yani Polda Jatim
327 Ria Virdia Nita, M.Farm., Apt RSUD Dr M Soewandhie
328 Riana Kusumaningtyas, S.Farm., Apt. Apotek Sehati
329 Ribka Basoeki, S.Farm., Apt PT Surya Dermato Medica Laboratories
Riccati Yustisia Arzella, S.Farm., Apt. Apotek Joyoboyo Prima
331 Rifda Amalia, S.Farm., Apt. PT Usfi332 Rika Nur Fadhilah, S.Farm., Apt RSLID Dr. Mohammad Soewandhie
J J.) Dra. Rina Noertjahjarini, Apt. Apotek Malika334 Dra. Rina Surjani Purwadipura, Msi., Apt. PT Anugerah Abi Farma
335 Rini Wulandari Sugiarto, S.Si., Apt. Apotek Jireh
JJO Risa Umami Putri, S.Farm., Apt RSUD Dr Moh. Soewandhie
337 Risa Zulfiana, S.Farm., Apt RSU Ha.li Surabaya
Rizki Disi Krismulyani, S.Farm., Apt. Puskesmas Mulyorejo Surabaya
339 Rizki Widya Handari, S.Farm., Apt. Viva Apotek Donowati
340 Rizky Dwi Fortuna, S.Farm., Apt PT Distriversa Buanamas Cabang Surabaya
341 Rizky Perdana, S.Farm., Apt PT Selaras Kusuma Cabang Surabaya
Rohdiya Wahyuni, S.Farm., Apt Rumah Sakit Islam Surabaya A. Yani
343 Romilda lrliani., S.Farm., Apt Apotek Stiesia
344 Rosalina Wulandari, S.Farm., Apt Klinik Pratama Redemptor MundiRosida Fajrin, S.Farm., Apt. Viva Apotek Pacuan Kuda
346 t ,&ainp, Hafiz, S.Farm., Apt Apotek Tiara 2
3dn@'nr,'qnaan Sari Wahluni, Apt. Apotek Bella
E8i ffi{ffi,ssi.,apt. Klinik Utama Ranap Pusura Yos Sudarso
9*-shlostj (Lnawan, Apt Apotek Super Farma
3J\ .ffi,a"t,Apt Apotek Terang Jaya
Lampiran Surat Keterangan Ikatan Apoteker Indonesia Pengurus Cabang Surabaya NomorKet-27 7 lP C IAI/Surabaya,XIl20 1 9
4-'(t'
FlNGURUS C'.8ATIGSLruAYA
NAMA APOTEKER
307
330
338
342
345
Lampiran Surat Keterangan Ikatan Apoteker Indonesia Pengurus Cabang Surabaya Nomor :
Ket-27 7 lP C IAVSurabaya,XV2O 1 9
NO NANIA APOTEKER INSTANSIApotek Graha Amanah351 Setia Nugrahayu K, S.Farm., AptApotek Alam Ria Farma352 Setiajie Cahyadi, S.Farm., Apt
353 Shafi Fithriana, S.Farm., Apt Apotek 178
354 Sherlie Christianto, S.Farm., Apt PT Multi Dwi AbadiPT Surya Dermato Medica Laboratories355 Sherly Widjaja Gunawan., S.Farm., Apt
356 Shinta Yasmien Gunawan, S.Farm., Apt. Rumah Sakit Katolik St. Vincentius A Paulo
357 Sienny Prayogo, S.Farm., Apt. UD Makmur Ceria Abadi
Apotek Fillina358 Sienny, S.Si., Apt.359 Silfi Romdhoni, S.Farm., Apt RSI Jemursari Surabaya
RS Katolik St. Vincentius A Paulo Surabaya360 Siluh Made Yuni Astini, S.Farm., Apt361 Silvia Dwi Puspa Susanti, S.Farm., Apt. RS Katolik Santo Vincentius A Paulo
Apotek Cendrawasih362 Silvia, S. Farm., M.Farm-Klin., Apt.PT Asita Sukses Abadi Pharmindo363 Sinta Kristianti, S.Farm., AptPuskesmas Tanah Kalikedinding (Takal)364 Siskha Nur Aeni, S.Farm, Apt.
RSI Jemursari Surabaya365 Siti Istichoma, S.Farm., Apt.Rumah Sakit Islam Surabaya A. Yani366 Siti Maghfiroh, S.Farm., Apt
367 Siti Rohmatillah. S Farm., Apt. Apotek Viva Jetis KulonApotek Kandangan368 Dra. Soediastoeti, Apt.Apotek Mahkota Farma369 Dra. Soehartini, AptPT Usfi370 Drs. Soewandhy Widjaja, AptPT Lab Medika Sejahtera Surabaya37t Sonya Maydilla Putri, S.Farm., AptApotek Bonanza Jaya372 Sophia Rachmi, S.Si., AptRumkital Dr. Ramelan3t) Sri Harjono, S.Si., AptApotek Mapan374 Sri Lestari, S.Si., Apt.Apotek Saba375 Dra. Sri Mayani, AptApotek Putat Jaya376 Sri Rahayu, S.Si., Apt.Apotek Get Well Soon377 Sri Rahayu, S.Farm., AptRSAL Dr. Ramelan378 Stefani Kartika Octavia, S.Farm., M.Farm., AptApotek Joyful379 Stefani Theresia, S.Farm., AptRS Katolik St. Vincentius A Paulo Surabaya380 Stella Calista Paramitha, S.Farm., Apt.PT Eskol Surya Anugerah381 Stephanie Chandra, S.Farm., AptPT Sri Buana Sumber Lestari382 Stephanie Christine Wongso, S.Farm., Apt.Apotek Amiri383 Sunarmi, S.Si., Apt.PT SDM (ft. Surya Dermato Medica Lab)384 Susana Ardreas. S. Farm., Apt.Apotek Zasha38s Swadarus Eliza, S.Farm., AptApotek Tirta Farma386 Syarifah Nurul Maulidah, S.Farm., M.Farm.Klin., AptApotek Pasyha387 Tanti Hidajati, S.Si., AptApotek Xavier388 Tanya, S.Si., AptRumkital Dr. Ramelan Surabaya389 Tenty Riana Hapsari, S.Farm., Apt
Thelma Winda Februwenty Silalahi, S.Farm., Apt Apotek 178
Apotek Alda391 Theresia Indriyanti, S.Farm., AptRS Katolik St. Vincentius A Paulo392 Theresia Yunita, S.Si., Apt., M.M.
393 Tian Zaiseru, S.Farm., Apt Apotek Karunia Farma
RS Adi Husada Undaan Wetan Surabaya394 Tjoa Indrawati, S.Farm., M.Farm-Klin., AptApotek Bringin Indah395 Tri Wahtu Paskarini, S.Si., AptRumah Sakit Islam Surabaya A. Yani396 lri-Wah1u Riza Umami, S.Farm., Apt.Apotek Alam Ria Farma39FHfa.trskandar, S.Farm., Apt
9{ Apotek Gishel Farma-eErhb
S.Farm., AptPT Sri Buana Sumber Lestari\29 If s{h/gndi, S.Farm., AprApotek K24 Menanggal&h{fr$franatr. S.Farm.. Apt
fnNSUeUSCAEA cSa i. .ril); i
390
Lampiran Surat Keterangan Ikatan Apoteker Indonesia Pengurus Cabang Surabaya NomorKet-27 7 lP C IAl/SurabayaXll20 1 9
NO NAMAAPOTEKER INSTANSI401 S.Farm., Apt Apotek Pulosari402 Umi Hanik Sekarwati, S.Farm., Apt PT Sri Buana Sumber Lestari403 Valentine g Purwandari, S.Farm., A Viva Apotek Petemon Barat404 Vanesa Jessl , S.Farm., Apt PT Enseval Putera Megatrading
Vebi Amalia, S.Farm., Apt Apotek Pahala406 Vera Liando, S.Si., Apt RS Adi Husada Undaan Wetan Surabaya407 Veronica Agnes Christinasari Khuan S.Farm., Apt PT Farmasi Berdikari Intimandiri408 Veronica Junni Eka Damayanti, S.Farm., Apt RS Katolik St. Vincentius A Paulo Surabaya409 Veronica Soejanto, S.Farm., Apt. Apotek A Gunung Anyar410 Veronica Tiur Irene Situmorang, S.Farm., Apt PBF PT Dos Ni Roha Cabang Surabaya4tt Verronisa Ermiani, S.Farm., Apt. PT Prima Farmasindo Lestari4t2 Vibe Relyzia Go, S.Si., Apt.413 Victor Femando, S.Farm., Apt. Apotek Kertopaten Farma414 Viola, S.Farm., Apt k Centro Farma SurabavaA4ts Vira Chandra Dewi, S.Farm., Apt Rumkital Dr. Ramelan416 Dra. Virnajati Djim Pandewangi, Apt. Apotek Polyfarma417 Vitriyanti Setiya Utami, S.Farm., Apt Apotek Kimia Farma 459418 Vivi Sulistyaningsih, S.Farm., Apt Apotek K24 Medokan Ayu419 Viviant, S.Si., Apt Apotek Setiabudi420 Wahyu ThuRSIna, S.Si., Apt Apotek Kapuas Farma421 Welly Santoso, S.Si., Apt. Apotek Star Farma422 Wibowo Septiawan Ramadhona, S.Si., Apt Apotek Natasha I423 Wida Rukmanajati, S.Farm., Apt. RSU Ilaji Surabaya
Dra. Widawaty Hartono, M.Kes., Apt. Rumkital Dr. Ramelan42s Widha Sulistya Wulan, S.Farm., Apt PT Usaha Semesta Globalindo
Widia Ningtyas, S.Farm., Apt Rumah Sakit Islam Surabaya A. Yani427 Dra. Widjajanti Tedja, Apt. Apotek Agape428 Widya Andari, S.Farm., Apt. PBF PT Mensa Binasukses429 Widya Kandisasmita Purwaningtyas S., S.Farm., Apt. RS Adi Husada Kapasari430 Wifaul Chusna, S.Farm., Apt Apotek Wifa Farma43t Winda Anastasia Claudya Baleare, S.Farm., Apt. Apotek Christ432 Yaluk Aisida, S.Farm., Apt. Apotek Metro Farma+JJ Yenny Puspita Handoyo Prayogo, S.Farm., Apt PT Eskol Surya Anugerah434 Yeny, S.Si., Ap Apotek Express435 Yohana Febriani Putri Peu Patty, S.Farm., Apt tek JoyfulA
Yohanes Mario Taka Korebima, S.Farm., Apt. PT Bina San Prima Cabang Surabaya I437 Yolanda Christy Sugiarto, S.Farm., Apt Viva Apotek Kapas Madya
Yonas Bianityo Ardani, S.Farm., Apt. Klinik Pratama St. Vincentius A PauloYosua Natar Tampubolon, S.Farm., Apt RSAI Dr. Ramelan Surabaya
440 Yovita Damayanti, S.Farm., Apt. Skident KlinikYudith Febby M, S.Si., Mm., Apt Apotek Smile Plus
442 Yulika, S.Farm., Apt Apotek Gabriel443 Yulita Widyasari, S.Farm, Apt. Klinik Pratama Jemursari Empat Surabaya444 Yunita Irwanto, S.Farm., Apt. PT Enseval Putera Megatrading
44seIYlrrrari R. Sofiana, S.Farm., Apt RSU Haj i Surabayasmeralda Naul , S.Farm., Apt.S PT Distriversa Buanamas
z,iap&ita Santoso, S.Farm., Apt Klinik Pratama Dr. Ekon
PSNGURUSCABATIO
sufiAB,i",A
Umi Fatmah
405
Apotek Pirus
424
426
436
438439
441
y46',
447'
%