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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:

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Demikian agar dapat digunakan semestinya'

Surabaya, 27 November 2019

IKATAN APOTEKER INDONESIA

PENGURUS CABANG SURABAYA

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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

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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

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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

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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

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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

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Lampiran Surat Keterangan Ikatan Apoteker Indonesia Pengurus Cabang Surabaya Nomor :

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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