nomor urut kta anggota pd jawa timur tahap 162 31101959 008257 effendi rachmat drs., apt., spfrs...

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NOMOR URUT KARTU TANDA ANGGOTA NASIONAL IKATAN APOTEKER INDONESIA PD JAWA TIMUR (SURABAYA) = 833 No. NOMOR ANGGOTA NAMA GELAR INSTANSI 1 09071956 008196 Ahmad Anshari Firdaus Drs., MM., Apt PT Kimia Farma 2 14121976 008197 Abdul Hakim S.Si., Apt UIN Maulana Malik Ibrahim Malang 3 18091959 008198 Achmad Toto Poernomo Drs., M.Si., Apt Fakultas Farmasi Universitas Airlangga 4 23071961 008199 Agus Singgih Prapto Drs., Apt BBPOM Surabaya 5 12081985 008200 Ahmad Adi Fathoni S.Farm., Apt Puskesmas Dr.Soetomo 6 17111965 008201 Akhmad Yani Drs., Apt Apotek Kimia Farma 7 16111970 008202 Alasen Sembiring Milala S.Si., M.Si., Apt Fakultas Farmasi Universitas Surabaya 8 11121966 008203 Ali Syamlan Drs., SE., Apt., MARS RSUD Dr.Soetomo 9 01021985 008204 Alifia Putri Febriyanti S.Farm., Apt CV Karya Mandiri 10 14071947 008205 Ami Soewandi J.S Prof.Dr., MS., Apt Fakultas Sain dan Teknologi Universitas Airlangga 11 01011945 008206 Amirudin Prawita Prof.Dr., MS., Apt Fakultas Farmasi Universitas Airlangga 12 10011976 008207 Angelica Kresnamurti S.Si., MPharm., Apt Apotek Immanuel Farma 13 12121959 008208 Aniek Setiya Budiatin Dra., M.Si., Apt Fakultas Farmasi Universitas Airlangga 14 31071986 008209 Anistisia Frina Dinarsari S.Farm., Apt Apotek Modern Dasa Medika 15 15041987 008210 Anita Setyawati S.Farm., Apt 16 01111958 008211 Antonius Adji Prayitno Setiadi Drs., MS., Apt Fakultas Farmasi Universitas Surabaya 17 30051984 008212 Antonius Bayu Aribowo S.Farm., Apt Apotek Pagesangan 18 20041966 008213 Any Koosbudiwati Dra., Apt BBPOM Surabaya 19 21041984 008214 Aprilia Rahmasari S.Farm., Apt Apotek KaEL 20 09041982 008215 Ardian Avrilena Minar Putri S.Farm., Apt IFRS Dr.Soetomo 21 14041934 008216 Arif Hartanta Drs., Apt Apotek Kharisma 22 28101980 008217 Arvanita Nurhayati S.Farm., Apt RSK St Vincentius A Paulo 23 28121956 008218 Asri Darmawati Dra., MS., Apt Fakultas Farmasi Universitas Airlangga 24 28111986 008219 Atika Rizkia Noviani S.Farm., Apt Apotek Mitra Sehati 25 03041975 008220 Audrey Ariani S.Si., Apt Apotek Setia Kawan 26 27051984 008221 Augustinus Garindas Pamungkas S.Farm., Apt PT Vitapharm 27 11111979 008222 Aydawati Kuswanto S.Si., Apt Apotek K-23 28 02051987 008223 Berlian Dwi Medayati S.Farm., Apt Apotek Natasha 1 29 17071949 008224 Betty Ateha Dra., Apt Apotek Sentra Medika 30 28061933 008225 Boedyanto Tjahjono Drs., Apt Apotek Omega 31 23111960 008226 Budhiono Djohan Drs., Apt 32 10041936 008227 Cecilia Meliani Dra., Apt Apotek Ocha 33 03021983 008228 Choirun Nisa S.Farm., Apt 34 28121983 008229 Christina Natalia Tansatrisna S.Farm., Apt RSK St Vincentius A Paulo 35 25111974 008230 Chusnul Chotimah S.Si., Apt Apotek Asiatica 36 20061987 008231 Cinthya Ratna Yuniar S.Farm., Apt Apotek 37 17111981 008232 Danang Tjandra Atmadja S.Farm., Apt PT Kimia Farma Apotek 38 10061984 008233 Deny Budi Legowo S.Farm., Apt Puskesmas Peneleh 39 07121975 008234 Desy Ernaningdyah S.Si., Apt Apotek Natasha 3 40 17121980 008235 Desy Nur Chofiyah S.Farm., Apt 41 07081980 008236 Devi Agustin S.Si., Apt Apotek Bu Haji 42 13121984 008237 Devy Mahasari S.Farm., Apt

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Page 1: Nomor Urut KTA Anggota PD Jawa Timur Tahap 162 31101959 008257 Effendi Rachmat Drs., Apt., SpFRS RSAL Dr.Ramelan 63 08051985 008258 Eka Kurniawati S.Farm., Apt Apotek Tiga Lima 64

NOMOR URUT KARTU TANDA ANGGOTA NASIONALIKATAN APOTEKER INDONESIA PD JAWA TIMUR (SURABAYA) = 833

No. NOMOR ANGGOTA NAMA GELAR INSTANSI

1 09071956 008196 Ahmad Anshari Firdaus Drs., MM., Apt PT Kimia Farma2 14121976 008197 Abdul Hakim S.Si., Apt UIN Maulana Malik Ibrahim Malang3 18091959 008198 Achmad Toto Poernomo Drs., M.Si., Apt Fakultas Farmasi Universitas Airlangga4 23071961 008199 Agus Singgih Prapto Drs., Apt BBPOM Surabaya5 12081985 008200 Ahmad Adi Fathoni S.Farm., Apt Puskesmas Dr.Soetomo6 17111965 008201 Akhmad Yani Drs., Apt Apotek Kimia Farma7 16111970 008202 Alasen Sembiring Milala S.Si., M.Si., Apt Fakultas Farmasi Universitas Surabaya8 11121966 008203 Ali Syamlan Drs., SE., Apt., MARS RSUD Dr.Soetomo9 01021985 008204 Alifia Putri Febriyanti S.Farm., Apt CV Karya Mandiri

10 14071947 008205 Ami Soewandi J.S Prof.Dr., MS., Apt Fakultas Sain dan Teknologi Universitas Airlangga11 01011945 008206 Amirudin Prawita Prof.Dr., MS., Apt Fakultas Farmasi Universitas Airlangga12 10011976 008207 Angelica Kresnamurti S.Si., MPharm., Apt Apotek Immanuel Farma13 12121959 008208 Aniek Setiya Budiatin Dra., M.Si., Apt Fakultas Farmasi Universitas Airlangga14 31071986 008209 Anistisia Frina Dinarsari S.Farm., Apt Apotek Modern Dasa Medika15 15041987 008210 Anita Setyawati S.Farm., Apt16 01111958 008211 Antonius Adji Prayitno Setiadi Drs., MS., Apt Fakultas Farmasi Universitas Surabaya17 30051984 008212 Antonius Bayu Aribowo S.Farm., Apt Apotek Pagesangan18 20041966 008213 Any Koosbudiwati Dra., Apt BBPOM Surabaya19 21041984 008214 Aprilia Rahmasari S.Farm., Apt Apotek KaEL20 09041982 008215 Ardian Avrilena Minar Putri S.Farm., Apt IFRS Dr.Soetomo21 14041934 008216 Arif Hartanta Drs., Apt Apotek Kharisma22 28101980 008217 Arvanita Nurhayati S.Farm., Apt RSK St Vincentius A Paulo23 28121956 008218 Asri Darmawati Dra., MS., Apt Fakultas Farmasi Universitas Airlangga24 28111986 008219 Atika Rizkia Noviani S.Farm., Apt Apotek Mitra Sehati25 03041975 008220 Audrey Ariani S.Si., Apt Apotek Setia Kawan26 27051984 008221 Augustinus Garindas Pamungkas S.Farm., Apt PT Vitapharm27 11111979 008222 Aydawati Kuswanto S.Si., Apt Apotek K-2328 02051987 008223 Berlian Dwi Medayati S.Farm., Apt Apotek Natasha 129 17071949 008224 Betty Ateha Dra., Apt Apotek Sentra Medika30 28061933 008225 Boedyanto Tjahjono Drs., Apt Apotek Omega31 23111960 008226 Budhiono Djohan Drs., Apt32 10041936 008227 Cecilia Meliani Dra., Apt Apotek Ocha33 03021983 008228 Choirun Nisa S.Farm., Apt34 28121983 008229 Christina Natalia Tansatrisna S.Farm., Apt RSK St Vincentius A Paulo35 25111974 008230 Chusnul Chotimah S.Si., Apt Apotek Asiatica36 20061987 008231 Cinthya Ratna Yuniar S.Farm., Apt Apotek37 17111981 008232 Danang Tjandra Atmadja S.Farm., Apt PT Kimia Farma Apotek38 10061984 008233 Deny Budi Legowo S.Farm., Apt Puskesmas Peneleh39 07121975 008234 Desy Ernaningdyah S.Si., Apt Apotek Natasha 340 17121980 008235 Desy Nur Chofiyah S.Farm., Apt41 07081980 008236 Devi Agustin S.Si., Apt Apotek Bu Haji42 13121984 008237 Devy Mahasari S.Farm., Apt

Page 2: Nomor Urut KTA Anggota PD Jawa Timur Tahap 162 31101959 008257 Effendi Rachmat Drs., Apt., SpFRS RSAL Dr.Ramelan 63 08051985 008258 Eka Kurniawati S.Farm., Apt Apotek Tiga Lima 64

43 17121976 008238 Dewi Kartikasari S.Si., Apt Apotek Bismillah44 08021984 008239 Dewi Makmuroh Nurul Qomar Purnamawati S.Farm., Apt IFRS Dr.Soetomo45 14041985 008240 Deznekelin Ridho Haswari S.Farm., Apt Apotek Alqi46 28061985 008241 Dhita Evi Aryani S.Farm., Apt47 13101983 008242 Dian Puspitasari S.Farm., Apt RS Adi Husada Undaan Wetan48 08071986 008243 Dieni Fitriyahsari S.Farm., Apt49 12121985 008244 Digdo Suryagama S.Farm., Apt Apotek Jo-Jo50 08101985 008245 Dina Rosyidatul Kholifah S.Farm., Apt Apotek X Jemursari51 28021984 008246 Dony Febriyanto S.Farm., Apt Apotek Murni Farma52 19061958 008247 Dra.Endang Pudjiwati Dra., MM., Apt Balai Besar POM Surabaya53 11031967 008248 Dwi Bambang Wahyono Birowo S.Si., Apt PT Kimia Farma Apotek54 29111974 008249 Dwi Ferna Windy Astuti S.Si., Apt55 02051962 008250 Dwi Rahayu Rusiani Dra., Apt., SpFRS IFRS Dr.Soetomo56 13051961 008251 Dwi Sutanti Dra., Apt Balai Besar POM Surabaya57 02081985 008252 Dwiagustine Artiminingsih S.Farm., Apt Apotek Sacharosa Medicine Service58 18061979 008253 Dwiyani Christyanti Kusumawardhani S.Si., Apt59 20101982 008254 Dyah Ayu Citrawati S.Farm., Apt Apotek Buluca Farma60 11071968 008255 Dyah Rochmatingrum Dra., Apt Balai Besar POM Surabaya61 13101961 008256 Edi Kusumastuti Dra., Apt BBPOM Surabaya62 31101959 008257 Effendi Rachmat Drs., Apt., SpFRS RSAL Dr.Ramelan63 08051985 008258 Eka Kurniawati S.Farm., Apt Apotek Tiga Lima64 24111935 008259 Elisa Wijaya Dra., Apt Apotek Madya65 12111986 008260 Elvina Mulyasari Sirait S.Farm., Apt PT Vitapharm66 26021987 008261 Elyka Milawati S.Farm., Apt PT Vitapharm67 06061952 008262 Emi Sukarti Dra., M.Si., Apt Fakultas Farmasi Unika Widya Mandala68 01081952 008263 Emma Sundrawati Tanuwidjaja Dra., MS., Apt Apotek Menur69 18091977 008264 Endah Purnamasari S.Farm., Apt70 10091968 008265 Endang Martiniani Dra., MPharm., Apt IFRS Dr.Soetomo71 05091976 008266 Endang Warsiana S.Si., Apt Apotek Hayat Farma72 05091957 008267 Endang Widowati Dra., Apt BBPOM73 15051941 008268 Engkun Koeswono Drs., Apt Apotek Sukomanunggal74 28081980 008269 Ening Pujiharsih S.Farm., Apt Apotek Siwalan75 '07101960 008270 Enny Hermiyati S.Si., Apt Rama Emerald Multi Sukses76 09081980 008271 Era Brilian Ramadanti S.Si., Apt77 25081968 008272 Erie S.Si., Apt78 07021985 008273 Erik Febriyanto, S.Farm., Apt Puskesmas Pacarkeling79 22081982 008274 Erlianti Fang S.Farm., Apt PT Interbat80 06081974 008275 Erni Gunawan S,Si., Apt Apotek Blessing81 15062011 008276 Esti Handayani Dra., Apt., MARS RSUD Dr.Soetomo82 21111980 008277 Etik Wahyuningsih S.Farm., Apt83 09051974 008278 Evida Mei Milawati S.Si., Apt Apotek Dery Farma84 18041974 008279 Faedal Barakatu S.Si., Apt Apotek Kimia Farma85 17061986 008280 Fajriyatul Fitriyah S.Farm., Apt86 25041987 008281 Fardan Maula Elfaruq S.Farm., Apt87 21061962 008282 Farida Suhud Dra., M.Si., Apt Fakultas Farmasi Universitas Surabaya88 24091985 008283 Fatimah Eriani S.Farm., Apt Apotek Sayang89 22021984 008284 Felisiana Sutanto S.Farm., Apt PT Interbat

Page 3: Nomor Urut KTA Anggota PD Jawa Timur Tahap 162 31101959 008257 Effendi Rachmat Drs., Apt., SpFRS RSAL Dr.Ramelan 63 08051985 008258 Eka Kurniawati S.Farm., Apt Apotek Tiga Lima 64

90 05081985 008285 Ferlin Wandasari S.Si., Apt Apotek Telemedika Farma 491 07021986 008286 Ferry Suhariyanto S.Farm., Apt92 06051983 008287 Fitrieny Namelia S.Farm., Apt PT Indofarma Global Medika93 26031987 008288 Francisca Tri Wituningtyas S.Farm., Apt RSK ST.Vincentius A Paulo94 21061984 008289 Fransisca Ayik Ika Vintrianti S.Farm., Apt PT Heroic95 24051943 008290 Gde Nyoman Astika Prof.Dr., MS., Apt Fakultas Farmasi Universitas Airlangga96 05101976 008291 Grace Kristiani Salim S S.Si., Apt Klinik Kecantikan Maria Elisabeth97 03101984 008292 Gracia Sylvi Christina S.Farm., Apt Pelayanan Kesehatan Sentuhan Kasih Bangsa98 22051963 008293 H.Mudzahar Amin Drs., Apt BBPOM Surabaya99 04031957 008294 H.Prayoga SP Drs., Apt Apotek Kimia Farma

100 18081982 008295 Hana Riawati Dharmawan S.Farm., Apt UD Indah101 15101979 008296 Handayani Wirawan S.Si., Apt Apotek Mutiara Tama102 15101979 008297 Handayani Wirawan S.Si., Apt Apotek Mutiara Tama103 14041980 008298 Hanny Afrilia Kalana S.Farm., Apt Apotek Luhanna104 30111932 008299 Harjani Simbarsari Dra., Apt Apotek Mulia Farma105 13031976 008300 Harry Naldi S.Si., Apt Apotek Kimia Farma106 28051964 008301 Helda Ruslan Dra., Apt Apotek Bios Farma107 27021981 008302 Henny Ekawati S.Farm., Apt RS Jiwa Menur108 12051984 008303 Hepfi Sulistiyorini S.Farm., Apt Apotek K-24 Pucang109 09031971 008304 Herlina Ekawati S.Si., Apt Apotek Kebonsari110 27121984 008305 Herlina Raditya Anggraini S.Farm., Apt Apotek Beka111 10091984 008306 Hermanto Putra S.Farm., Apt112 10111967 008307 Hesti Sila Rahayu Dra., Apt BBPOM Surabaya113 15031981 008308 Hindarko Luh Setyawanto S.Si., Apt PT Rama Emerald Multi Sukses114 02111961 008309 Husin Rayesh Mallaleng Drs., M.Kes., Apt Dinas Kesehatan Jatim115 07121984 008310 I Gusti Ayu Desy Rahayu S.Farm., Apt PT Anugrah Argon Medica116 12101986 008311 I Gusti Ayu Trisnadewi S.Farm., Apt IFRS Dr.Soetomo117 17071977 008312 Iin Khoirin Nisa S.Si., Apt RSUD Dr.M.Soewandhie118 01041982 008313 Ika Hardani S.Farm., Apt Apotek K-24 Jemursari119 06011984 008314 Ike Murwiyanti S.Farm., Apt Puskesmas Mojo120 17011966 008315 In Estuningsih S.Si., Apt Apotek Libra121 11061941 008316 Indrawardhani Halim Dra., Apt Apotek Sukomanunggal122 23091985 008317 Intan Sari Dewi S.Farm., Apt IFRS RSUD Dr.Soetomo123 18121985 008318 Irma Rahmawati S.Farm., Apt BBPOM Surabaya124 19031972 008319 Irvina Harini S.Si., Apt., SpFRS IFRS Dr.Soetomo125 22121982 008320 Ismulawardi S.Farm., Apt PT Summit126 10011985 008321 Ita Trismiati Ningsih S.Farm., Apt Departemen Farmasi RSAL Dr.Ramelan127 26081964 008322 Itis Widji Utami Dra., Apt BBPOM Surabaya128 20091945 008323 Ivonia Tedjokumoro Notorahardjo Dra., Apt Apotek Lancar129 29071972 008324 Juli Andriani S.Si., Apt., AAK PT Askes130 17071985 008325 Juliana Kurniawati S.Farm., Apt RSK Vincentius A Paulo131 02061967 008326 Juni Ekowati Dra., MSi., Apt Fakultas Farmasi Universitas Airlangga132 19061950 008327 Juniar Soerjono Dra., MS., Apt Fakultas Farmasi Universitas Airlangga133 11121932 008328 Juwana Andimulia Siswandi Drs., Apt Apotek Budi134 17041988 008329 Kandya Putri Sri Vonny S.Farm., Apt135 24071977 008330 Kartini S.Si., M.Si., Apt Fakultas Farmasi Universitas Surabaya136 11071955 008331 Kotot Munarto Drs., Apt Apotek Prima Sehat

Page 4: Nomor Urut KTA Anggota PD Jawa Timur Tahap 162 31101959 008257 Effendi Rachmat Drs., Apt., SpFRS RSAL Dr.Ramelan 63 08051985 008258 Eka Kurniawati S.Farm., Apt Apotek Tiga Lima 64

137 09011965 008332 Kristina Nurhayati Dra., Apt Apotek YKG138 07061965 008333 Kuncoro Foe Drs., DipSc., PhD., Apt Universitas Katolik Widya Mandala139 12081986 008334 Kurnia Hadi S.Farm., Apt140 21021964 008335 Kusuma Wiratama Drs., Apt Apotek Bella 2141 17081979 008336 Lailatul Rochma Pusponegoro S.Si., Apt Apotek Setia142 03071973 008337 Lany Indrawati S.Si., Apt Apotek Flora 2143 18091967 008338 Lestiono Drs., Apt., SpFRS Departemen Farmasi RSAL Dr.Ramelan144 09011950 008339 Liliek Suyatmiatun Dra., MS., Apt Fakultas Farmasi Universitas Katolik Widya Mandala145 23081973 008340 Lilik Maf'ulah S.Si., Apt Apotek KPRI RSUD Dr.Soetomo146 25041987 008341 Linda Hanafiah S.Farm., Apt Apotek K-24 Klampis147 04071987 008342 Lisa Arianto S.Farm., Apt PBF PT Sinar Intermark148 28101980 008343 Listarini Kurniawaty S.Farm., Apt Apotek Lidah Farma149 21051954 008344 Lucia Endang Wuryaningsih Dra., M.Si., Apt Fakultas Farmasi Universitas Surabaya150 26061982 008345 Lucia Yuny Trisanti S.Farm., Apt Apotek Jo-Jo151 03081980 008346 Lusiana Wonosantoso S.Si., Apt Klinik Yayasan Pondok Kasih152 31071987 008347 Lutfiana Rakhmawati S.Farm., Apt RSUD Bhakti Dharma Husada153 12051984 008348 Lydia Ambeno S.Farm., Apt PBF Prima Farma Indonesia154 05121933 008349 Lydia Irawati Hidajat Dra., Apt Apotek Sumber Jaya155 10081983 008350 Lydia Sherly Evelina S.Farm., Apt Apotek Satelite156 27091934 008351 Lydia Tedjasukmana Dra., Apt PT Elim Jaya Mandiri157 16091984 008352 M. Yusuf Zainudin S.Farm., Apt PT K-24 Indonesia158 16061982 008353 M.Ch.Reza Kartika Puspa R S.Farm., Apt RSK ST.Vincentius A Paulo159 18051966 008354 Marcellino Rudyanto Drs., M.Si., PhD., Apt Fakultas Farmasi Universitas Airlangga160 27041986 008355 Maria Chatarina Retnaning Diah Ayu S.Farm., Apt BBPOM Surabaya161 21101944 008356 Mariana Limansantoso Dra., Apt162 14061985 008357 Marissa Yovita S.Farm., Apt PKM Gunung Anyar163 15021971 008358 Mariyatul Qibtiyah S.Si., Apt., SpFRS IFRS Dr.Soetomo164 17021974 008359 Martha Ervina S.Si., M.Si., Apt Apotek Bahagia Farma165 17051981 008360 Mei Anjar Kussuma S.Farm., Apt RS PHC166 15011985 008361 Mela Dwi Wulandari S.Farm., Apt IFRS Dr.Soetomo167 04031985 008362 Miranti Nugrahini S.Farm., Apt Apotek 76168 12071960 008363 Muhammad Sadar HN Drs., Apt Departemen Farmasi RSAL Dr.Ramelan169 11051970 008364 Murni Winarsih S.Si., Apt Apotek Bratang170 12071984 008365 Nadia Ayu Nirmala S.Farm., Apt Apotek Mukti Mulia171 29121976 008366 Nafilah Mahrusitah S.Si., Apt Rumah Sakit Wijaya172 15091986 008367 Nandhia Budiarni S.Farm., Apt PT Kimia Farma Apotek173 14051986 008368 Nanik Widjayanti S.Farm., Apt RSIA Cempaka Putih Permata174 25121980 008369 Nathaliza Aryati Permatasari S.Farm., Apt Apotek Miracle 4175 22091982 008370 Nelly Trisnowati Wijaya S.Farm., Apt Apotek Jeanette176 22061966 008371 Ni Made Lely Nawaksari Dra., Apt Apotek Diponegoro177 09071986 008372 Nita Kiusirini S.Farm., Apt PKM Sidosermo178 26121981 008373 Noor Deta Arianty S.Farm., Apt179 10051987 008374 Novamei Indriani S.Farm., Apt180 26101982 008375 Novita Indah Purwati S.Farm., Apt Apotek X Kupang Jaya181 13111974 008376 Noviyanti S.Si., Apt Apotek Primadana182 13081984 008377 Nugraheni Angger Utomowati S.Farm., Apt RSK ST.Vincentius A Paulo183 10021986 008378 Nuh Hadyah S.Farm., Apt

Page 5: Nomor Urut KTA Anggota PD Jawa Timur Tahap 162 31101959 008257 Effendi Rachmat Drs., Apt., SpFRS RSAL Dr.Ramelan 63 08051985 008258 Eka Kurniawati S.Farm., Apt Apotek Tiga Lima 64

184 25081976 008379 Nuke Saswita S.Si., Apt Apotek Sas Farma185 06061981 008380 Nur Chaulah S.Farm., Apt RSUD dr.M.Soewandhie186 02111978 008381 Nur Hidayah S.Si., Apt Balai Besar POM Surabaya187 05021987 008382 Nur Komariah S.Farm., Apt Apotek K-24 Boulevard Surabaya188 09051985 008383 Nur Majidah S.Farm., Apt Apotek Bunda dan Anak189 12011986 008384 Nurrina Ayu Rufaidah S.Farm., Apt Apotek RS Gigi Mulut Unair190 27051979 008385 Oelyn Sawitri S.Farm., Apt Apotek Aoeri Farma191 18081986 008386 Paul Christanto S.Farm., Apt Apotek Lamda 2192 17041932 008387 Paulina Pudjisetiawati Dra., Apt Apotek Mulyosari193 08031932 008388 Paulus Budiwidjaja Drs., Apt Apotek Sumber Farma194 24111980 008389 Pipit Ermawita S.Farm., Apt Apotek Ciomas Harapan195 06011987 008390 Pramita Ariyasa S.Farm., Apt PT Anugrah Argon Medica196 29061980 008391 Pri Yuni Madurati S.Farm., Apt Apotek K 24197 08111980 008392 Putu Hevy Suriyastini S.Farm., Apt Apotek Sentra Medika198 16081957 008393 R.Soedarmono Drs., Apt Apotek Kimia Farma 25199 21041983 008394 Rachmawati Nirmala Dewi S.Farm., Apt PT Summit200 02101987 008395 Ragil Sediyaning Utami S.Farm., Apt RSK ST.Vincentius A Paulo201 26121982 008396 Rahayu Indraningtyah S.Farm., Apt RS PHC202 10101960 008397 Ratih Triastuti Dra., Apt Apotek Krista203 07041956 008398 Ratnawati Wanamulia Dra., Apt Apotek Tanjung204 22031975 008399 Ratrianti Wahyuni S.Si., Apt Apotek Asti Farma205 21031965 008400 Retno Chatulistiani Purwaningrum Dra., Apt Apotek Moren Farma206 18041972 008401 Riesta Primaharinastiti Dr., S.Si., M.Si., Apt Fakultas Farmasi Universitas Airlangga207 09091983 008402 Rigil Kent Widyastuti S.Farm., Apt RS Mitra Keluarga Surabaya208 17051985 008403 Rika Dwi Astuty S.Farm., Apt Casimira Medical Centre209 10121975 008404 Ririn Ardianti S.Si., Apt Apotek CnC210 22061982 008405 Ririn Prasetyo Utaminingtyas S.Farm., Apt., SpFRS IFRS Dr.Soetomo211 06101986 008406 Risca Maharani S.Farm., Apt Apotek L'viors212 16051982 008407 Riska Indra Herawati S.Farm., Apt213 13041986 008408 Riza Ariesta Hellinda S.Farm., Apt PBF PT Rajawali Nusindo Cabang Surabaya214 05121986 008409 Rizki Disi Krismulyani S.Farm., Apt Apotek K-24 Pucang215 08031985 008410 Rizna Sukma Wardani S.Farm., Apt Puskesmas Menur216 30041983 008411 Romilda Irliani S.Farm., Apt217 09011986 008412 Rr.Ajeng Mia Rizky Soedarmono S.Farm., Apt218 25081938 008413 Sadono Drs., M.Si., Apt Fakultas Farmasi Universitas Surabaya219 05091952 008414 Sajekti Palupi Dra., M.Si., Apt Fakultas Farmasi Universitas Surabaya220 10011974 008415 Salma Yanuar Surahmi S.Farm., Apt Puskesmas Ngagel Rejo221 13111982 008416 Salman Lukman Hakim S.Farm., Apt222 22121973 008417 Sami Rahayu S.Si., Apt Apotek KPRI RSUD Dr.Soetomo223 02101976 008418 Sayudi S.Si., Apt Apotek Mina224 17051975 008419 Senny Yesery Esar S.Si., M.Si., Apt Apotek Wisata225 24121963 008420 Septiani Tandadjaja Dra., Apt Apotek Terang Jaya226 13061985 008421 Siluh Made Yuni Astini S.Farm., Apt RSK Vincentius A Paulo227 25111962 008422 Siti Farida Dra., Apt., SpFRS IFRS Dr.Soetomo228 20091961 008423 Siti Wahyuni Dra., Apt., SpFRS IFRS Dr.Soetomo229 10091944 008424 Soebahagiono Drs., Apt Fakultas Farmasi Universitas Airlangga230 18051945 008425 Soemartina Dra., Apt., MARS Fakultas Farmasi Universitas Airlangga

Page 6: Nomor Urut KTA Anggota PD Jawa Timur Tahap 162 31101959 008257 Effendi Rachmat Drs., Apt., SpFRS RSAL Dr.Ramelan 63 08051985 008258 Eka Kurniawati S.Farm., Apt Apotek Tiga Lima 64

231 03051944 008426 Soerjono Seto Drs., MM., Apt Apotek Savira232 13111964 008427 Soetanto S.Si., Apt RSAL Dr.Ramelan233 26121974 008428 Sophia Rachmi S.Si., Apt SMK Farmasi234 24041945 008429 Sri Harti Dra., Apt Apotek Pandugo235 23101969 008430 Sri Lestari S.Si., Apt Apotek Mapan236 20031935 008431 Sri Mayani S Dra., Apt Apotek Saba237 15111962 008432 Sri Wiludjeng Dra., Apt Apotek Kutei238 05101955 008433 Sudirman Drs., Apt RSUD Dr.Soetomo239 23091958 008434 Sudjarwo Prof.Dr., MS., Apt Fakultas Farmasi Universitas Airlangga240 22121961 008435 Sujatno Drs., Apt IFRS Dr.Soetomo241 30051973 008436 Sukaryono S.Si., Apt RS PHC242 01021983 008437 Sukma Ratih Kharisma S.Farm., Apt., SpFRS IFRS Dr.Soetomo243 19051974 008438 Sulistiyono S.Si., Apt Apotek Kimia Farma244 09021976 008439 Sunarmi S.Si., Apt245 12011954 008440 Suryadi Drs., Apt Apotek Kimia FArma 52246 05051982 008441 Suryaningsih S.Farm., Apt247 04051930 008442 Sutarjadi Prof.Dr., MS., Apt Fakultas Farmasi Universitas Surabaya248 27091965 008443 Suzana Dra., M.Si., Apt Fakultas Farmasi Universitas Airlangga249 30061978 008444 Theresia Yunita S.Si., MM., Apt RSK St. Vincentius A Paulo250 16041951 008445 Tjitrawati Dra., Apt Apotek Dwi Jaya251 11042011 008446 Toetik Aryani Dra., M.Si., Apt Fakultas Farmasi Universitas Airlangga252 10121966 008447 Tri Khairumi Saling Asih Dra., Apt BBPOM Surabaya253 26011948 008448 Tutuk Budiati Prof.Dr., MS., Apt Fakultas Farmasi Universitas Airlangga254 29091956 008449 Usreg Sri Handajani Dra., M.Si., Apt Fakultas Sains dan Teknologi Unair255 16101977 008450 Veliana S.Si., Apt Apotek Medika Farma256 12061983 008451 Veronica Junni Eka Damayanti S.Farm., Apt RSK ST.Vincentius A Paulo257 28101983 008452 Victor Fernando Kusuma Tjandra S.Farm., Apt Apotek Mercury258 01091987 008453 Vincentia Septiana Widiastuti S.Farm., Apt RSK ST.Vincentius A Paulo259 27091984 008454 Vuri Septine Suryaning Norma S.Farm., Apt Apotek Farmasi Airlangga260 16071983 008455 Wahyu Surya Sukana S.Farm., Apt261 07111975 008456 Wahyu Thursina S.Si., Apt Apotek Altera262 17061984 008457 Whyka Nuzulul Rakhmah S.Farm., Apt Apotek Lontar Asri263 17061980 008458 Wibowo Fendi S.Farm., Apt264 22071969 008459 Widawaty Hartono Dra., M.Kes., apt Departemen Farmasi RSAL Dr.Ramelan265 12071966 008460 Widyati Dra., MClinPharm., Apt Departemen Farmasi RSAL Dr.Ramelan266 11021984 008461 William Gondo Widjaja S.Farm., Apt PT Vitapharm267 26041974 008462 Willy Jatmiko S.Si., Apt RS PHC Surabaya268 03021978 008463 Winda Freeyati S.Si., Apt IFRS TNI-AU Soemitro269 11021968 008464 Worokarti Dra., Apt IFRS Dr.Soetomo270 30091980 008465 Yelly Setyowati S.Farm., Apt Apotek Garuda Inti Farma271 07121986 008466 Yohana Ika Chrisanti Widodo S.Farm., Apt RSK Vincentius A Paulo272 24041985 008467 Yohanes Aris Kurniawan S.Farm., Apt PT Bernofarm273 06061977 008468 Yuana Rika Pramudya Wardani S.Farm., Apt Apotek Cendyka274 09021979 008469 Yudith Febby Maulany S.Si., MM., Apt Apotek Bonanza275 01071964 008470 Yuliati Dra., Apt276 18061974 008471 Yunita Nita S.Si., MPharm., Apt Apotek Farmasi Airlangga277 15111982 008472 Yusnita Rachmawati S.Farm., Apt Apotek Raya Farma

Page 7: Nomor Urut KTA Anggota PD Jawa Timur Tahap 162 31101959 008257 Effendi Rachmat Drs., Apt., SpFRS RSAL Dr.Ramelan 63 08051985 008258 Eka Kurniawati S.Farm., Apt Apotek Tiga Lima 64

278 18051985 008473 Zamrotul Izzah S.Farm., Apt Fakultas Farmasi Universitas Airlangga279 07071982 008474 Masrufah S.Farm.,Apt. Apotek Ben Mario280 26091981 008475 Citra Zita Herminiente Fernando Ferdinand S.Farm.,Apt. Apotek Sendy281 04061983 008476 Yuni Suryati S.Farm.,Apt. Apotek Abdi Mulia282 16101983 008477 Renny Carolin S.Farm.,Apt. UD Fonda Mas283 01071963 008478 Fransisca Mulyani S.Si.,Apt. RSK St.Vincentius a Paulo284 19021977 008479 Suzi Pranoto S.Si.,Apt.285 27011986 008480 Janti Dwisiani Pramana S.Farm.,Apt. UD Ofel Kosmetik286 13021971 008481 Amitasari Damayanti S.Si.,MSc.,Apt. Departemen Farmasi RSAL Dr.Ramelan287 10121975 008482 Meliawahyuni Hartanto S.Si.,Apt.288 26031987 008483 Adi Nugroho S.Farm.,Apt. PT Emerald Multi Sukses289 25121986 008484 Susanti Christiana S.Farm.,Apt. Klinik Cantik290 18121957 008485 Ernawati Tanujaya S.Si.,Apt. PT Surya Dermato291 05031969 008486 Erna Ekowati S.Si.,Apt. Apotek Dinar292 08061971 008487 Roosyka Wahjuny S.Si.,Apt. PT Bersaudara Sejahtera Utuh293 22111969 008488 Eva Arijany S.Si.,Apt. Apotek Usaha294 18031976 008489 Anna Setiawati S.Si.,Apt. PT Vitapharm295 20021978 008490 Maulita Agustiawan S.Si.,Apt. Apotek Saras Abadi296 09121979 008491 Fransiska Diyah Christiningroem S.Farm.,Apt. Apotek E'Skin Farma297 22011985 008492 Femylia Wijaya S.Farm.,Apt. Apotek Megah Terang298 25121983 008493 Fina Natalia S.Farm.,Apt.299 14031981 008494 Mariana S.Farm.,Apt.,SpFRS300 29021984 008495 Fransiska Reny Dwi Wijayanti Febri S.Farm.,Apt. Apotek Rizky Putra Farma301 28101981 008496 Ricky Oktavianus Gunawan S.Farm.,Apt. PT Multi Rona Anugerah302 17021983 008497 Dianawati S.Farm.,Apt. Apotek K-24 Manyar303 25061980 008498 Martinus Jeffry T. S.Farm.,Apt. Apotek Mega Surya304 11021985 008499 Eiline Tanzil S.Farm.,Apt. PT Bina San Prima305 09011985 008500 Nadia Nurina Budihardjo S.Farm.,Apt. Apotek Pancar306 20031986 008501 Erni Susilowati S.Farm.,Apt. PT Vitapharm307 06101968 008502 Lily Rosaline S.Si.,Apt. PT Vitapharm308 24081987 008503 Dewi Agustin S.Farm.,Apt. PT Vitapharm309 11121978 008504 A.C.Aditya Natalia G.A. S.Si.,Apt.,SpFRS Apotek Sembilan310 08031986 008505 Liliana S.Farm.,Apt. PT Parit Padang Global Surabaya311 13021980 008506 Charles Fernando Winoto S.Farm.,Apt. PT Interbat312 05021987 008507 Tri Puspasari S.Farm.,Apt. PT Gehael Nusantara313 15081987 008508 The Artis Primalia S.Farm.,Apt.314 10081980 008509 Hanny Yanong S.Farm.,Apt. Apotek Havandi315 16121981 008510 Anita S.Farm.,Apt. Apotek Havandi316 31011973 008511 Evita Liana S.Si.,Apt. PT Irawan Djaja Agung317 19121979 008512 Delvi Suzana Sietho S.Farm.,Apt.,SpFRS Apotek Chandra Farma318 18061985 008513 Dewi Jaini S.Farm.,Apt. Tiphara Biocosmetic319 20081985 008514 Fida Christina S.Farm.,Apt. CV Zoe Signature320 06021984 008515 Ellisabet Pujianto S.Farm.,Apt. Apotek Miracle 5321 19021964 008516 Helena Ratna Tri Lestari S.Si.,Apt. PT Surya Dermato Medica Laboratories322 16081985 008517 Veronica Krisnawan S.Farm.,Apt. PBF PT Bakajaja Makmur Abadi Cabang Surabaya323 26111985 008518 Sri Handayani S.Farm.,Apt. PBF PT Sakajaja Makmur Abadi324 21031983 008519 Arianna Margaretha S.Farm.,Apt. Apotek 8

Page 8: Nomor Urut KTA Anggota PD Jawa Timur Tahap 162 31101959 008257 Effendi Rachmat Drs., Apt., SpFRS RSAL Dr.Ramelan 63 08051985 008258 Eka Kurniawati S.Farm., Apt Apotek Tiga Lima 64

325 15031980 008520 Monica Ratna Sari S.Farm.,Apt. Apotek Yang Ti326 15061984 008521 Meirita Djoeniliarni S.Farm.,Apt. PT Sehat Dapat Rejeki327 14061974 008522 Tris Sutiowati S.Si.,Apt. Apotek Metro Farma328 02121948 008523 Monica Widyawati Setiawan Dra., MSc.,Apt. Fak.Farmasi Universitas Katolik Widya Mandala329 29061981 008524 Amelia Andreana Wibowo S.Farm.,Apt. Apotek Ria Farma330 12011969 008525 Vonny Elizabeth Handoko S.Si.,Apt. Apotek Miracle 3331 06121976 008526 Devy Natalia S.Si.,Apt. Apotek Puteri Buana332 25071987 008527 Nofita S.Farm.,Apt. Apotek Alif333 11071982 008528 Nurul Amalia S.Farm.,Apt. Apotek Undaan Jaya334 17091977 008529 Fitri Irawan S.Si.,Apt. Apotek Ika Sehat335 29061985 008530 Yuniana Dewi Chandra S.Farm.,Apt. Apotek Etika Farma336 13031986 008531 Afa Mardyani Hendra S.Farm.,Apt. PT Prasetya Pratama Jaya Farma337 18091972 008532 Sri Andriyani S.Si.,Apt.338 20091964 008533 Asmawati Dra., Apt. Apotek M.C.A339 07091981 008534 Josephine Witha Mariza S.Farm.,Apt. RSUD Dr.Soetomo340 05071970 008535 Wiwik Joelianti S.Si.,Apt. RS Adi Husada Undaan Wetan341 27101985 008536 Venny Ieliana S.Farm.,Apt. RS Adi Husada Undaan Wetan342 20031984 008537 Pauline Wijaya S.Farm.,Apt. Apotik Prayogi343 28041978 008538 Seger Santoso S.Farm.,Apt. Apotek Trisa344 20091980 008539 Wulan Nawangsari S.Farm.,Apt. PT Millennium Pharmacon Internarional, Tbk345 26101983 008540 Sherli Setiawati S.Farm.,Apt. PT Jamu Agung Sejahtera346 30111967 008541 Sri Hartati S.Si.,Apt. Apotek Miracle347 12081968 008542 Melissa Kartika S.Si.,Apt. Apotek Family Farma348 17061982 008543 Irene S.Farm.,Apt.349 19041977 008544 Ani Marlina S.Si.,Apt.350 13101983 008545 Teresia Endah Widianti S.Farm.,Apt.351 07091973 008546 Anita Halim S.Si.,Apt. PT Surya Herbal352 15021984 008547 Lidya Arifin S.Farm.,Apt.353 10081987 008548 Agnes Henny Handoko S.Farm.,Apt. Apotek Ubaya354 06041987 008549 Rika Candra Meliana S.Farm.,Apt.355 02051987 008550 Emi Puspasari S.Farm.,Apt. PT Graha Indowellness (Apotek Elizabeth)356 28061987 008551 Rio Dwi Eko Nyoto Halim S.Farm.,Apt.357 14091981 008552 Hamlifanna S.Farm.,Apt. Apotek Podojodo358 14041983 008553 Aprillia Anastasia S.Farm.,Apt. PT Estetika Medika Utama359 03031984 008554 Viki Susanto S.Farm.,Apt. PJ Wisnu360 23111988 008555 Shelly Iskandar S.Farm.,Apt.361 23121987 008556 Desi Natalia S.Farm.,Apt.362 04021989 008557 Sandy Santoso S.Farm.,Apt.363 24091988 008558 Guwantoro Sugiarto S.Farm.,Apt.364 05111986 008559 Afaf Abdul Karim S.Farm.,Apt. PT Dos Ni Roha365 15101985 008560 Widha Sulistya Wulan S.Farm.,Apt. PBF Usaha Semesta Globalindo366 24011986 008561 Christian Yanuardi Soetikno S.Farm.,Apt. PT Sandai Farma367 13101982 008562 Windah Eka Hardini S.Farm.,Apt.368 07071980 008563 Wiwiek Yulia S.Si.,Apt. PT Heroic369 28111983 008564 Amelia Lorensia S.Farm.,MFarm-Klin.,Apt. Fakultas Farmasi Universitas Surabaya370 22051983 008565 Tirto Heryanto S.Farm.,Apt. CV Untung Kumoro371 30011962 008566 Kiaonarni Ongko Waluyo Dra., Apt. Politeknik Kesehatan Kemenkes Surabaya

Page 9: Nomor Urut KTA Anggota PD Jawa Timur Tahap 162 31101959 008257 Effendi Rachmat Drs., Apt., SpFRS RSAL Dr.Ramelan 63 08051985 008258 Eka Kurniawati S.Farm., Apt Apotek Tiga Lima 64

372 29071986 008567 Niken Ayu Kristanti S.Farm.,Apt. Apotek Kimia Farma373 03011989 008568 Feby Christina S.Farm.,Apt.374 04081986 008569 Dyah Agustine Widyantie S.Farm.,Apt. PT Rejeki Agung Makmur375 13041986 008570 Aulia Ariestya Dewi S.Farm.,Apt. PT Prana Keluarga Nusantara376 22031988 008571 Ella Yunita S.Farm.,Apt.377 07061970 008572 Maria Imelda Lanny S.Si.,Apt. JJ Top Cosmindo Jaya378 07061983 008573 Yunita Irwanto S.Farm.,Apt. PT Dalan Triputra Mandiri379 26051986 008574 Ricca Chandra S.Farm.,Apt. Apotek Abdi Mulya380 28051971 008575 Maria Magdalena S.Si.,Apt. Apotek Dande Farma381 07091988 008576 Selly Limantoro Sanjaya S.Farm.,Apt.382 17111987 008577 Vonny Santoso S.Farm.,Apt.383 23071984 008578 Yullie Lodewik S.Farm.,Apt. PT Parit Padang Global384 10121985 008579 Cynthia Hapsari Kusumaningrum S.Farm.,Apt. Apotek K-24385 24071977 008580 Dian Eka Wahyuni S.Si.,Apt. Apotek Darly Farma386 24071956 008581 Harry Santosa Drs., Msi.,Apt. Fakultas Farmasi Universitas Surabaya387 16021984 008582 Ervita Indra Sari S.Farm.,Apt. Dinkes Kota Surabaya388 26051986 008583 Nur Nuzuliyah Sucianingsi Lestari S.Farm.,Apt. Apotek bdH389 03121984 008584 Desy Ermawati S.Farm.,Apt. PT Elang Makmur Niaga390 07121983 008585 Ira Puspitasari S.Farm.,Apt. Apotek K-24 Kutisari Selatan391 14111982 008586 Arif Cahyono S.Farm.,Apt. Dinkes Kota Surabaya392 25121981 008587 Deby Rosalia Christiana S.Farm.,Apt. Sinar Husada393 19121969 008588 Indahwati S.Si.,Apt. Apotek Astha394 11031983 008589 Martina Angelia S.Farm.,Apt. Apotek Serafim395 05041983 008590 Helen S.Farm.,Apt. Klinik Kencana Medika396 25081965 008591 Caecilia Hendrata Dra., Apt.397 09061987 008592 Dewi Rahmawati S.Farm.,Apt.398 29081983 008593 Yovita Damayanti S.Farm.,Apt.399 09051984 008594 Endang Sri Murni S.Farm.,Apt. Apotek Takavi400 01061984 008595 Candra Romadhona S.Farm.,Apt.401 01111984 008596 Savitri Novianty S.Farm.,Apt.402 11121987 008597 Liviana Natalia S.Farm.,Apt.403 12101987 008598 Erliana Veronica S.Farm.,Apt.404 11051988 008599 Meliyanti Tanugraha S.Farm.,Apt.405 16111986 008600 Noviana Irawan S.Farm.,Apt.406 27051987 008601 Maelani S.Farm.,Apt.407 25071970 008602 Lily Soejanti S.Si.,Apt. Apotek Berlian Farma408 19081987 008603 Lie Willeon Wijaksono S.Farm.,Apt.409 14041966 008604 Lanywati Soedarmadji Dra., Apt.410 16101943 008605 Elisawati Wonohadi Dra., Msi.,Apt. Fakultas Farmasi Universitas Surabaya411 14121984 008606 Lilin Hayati S.Farm.,Apt. Apotek Pendulang412 28061981 008607 Clorinda Jane S.Farm.,Apt. Apotek Glory413 20081988 008608 Angelina Steffi Bokang S.Farm.,Apt.414 20011988 008609 Erlin Suryani S.Farm.,Apt.415 01041987 008610 Oniek Dwi Aprilya S.Farm.,Apt.416 14101982 008611 Rahayu S.Farm.,Apt. PT Parit Padang Global 417 24021984 008612 Feronika Rasubala S.Farm.,Apt. PT Parit Padang Global 418 16011985 008613 Yani Aristia Rini S.Farm.,Apt. Apotek Serayu

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419 22051987 008614 Stephanie Beatrix S.Farm.,Apt. Apotek Tanggul420 16061985 008615 Fitria Dewi Yunitasari S.Farm.,Apt. Klinik & Apotek 3D421 08081979 008616 Budi Sulastri S.Farm.,Apt. Apotek X Rungkut Madya422 12081980 008617 Ike Maria Sinandang S.Farm.,Apt. RSK St Vincentius A Paulo423 22111987 008618 Fifi Nathalia S.Farm.,Apt. Apotek Medika Utama 2424 27021988 008619 Febryanti Susanto S.Farm.,Apt. PT Vitapharm425 18071964 008620 Juliani Notosoesanto Dra., Apt. Apotek Philia426 15091967 008621 Meliana Switenia Hong S.Si.,Apt. PT Erha Clinic Pusaka427 08101968 008622 Jany S.Si.,Apt. PT Marion Berkat Ahugerah428 29071968 008623 Wiwik Mindayati S.Si.,Apt.429 15041981 008624 Lince Rosalita S.Farm.,Apt. Klinik Kasih Karunia430 02011985 008625 Andina Heidyriva S.Farm.,Apt. PT K24 Indonesia431 02111981 008626 Novayanti Nasution S.Farm.,Apt. Apotek Jaya Medika432 05081982 008627 Shinta Agustin Wardhany S.Farm.,Apt. Puskesmas Kenjeran433 14091981 008628 Angrelefa Honoarjo S.Farm.,Apt. Apotek Latovi434 03111987 008629 Elvi Kresia Leiwakabessy S.Farm.,Apt.435 07041982 008630 Jean Rex Jatmiko Malonda S.Farm.,Apt. Apotek Jesa Inti Farma436 23051978 008631 Dina Purwanti S.Si.,Apt. Apotek Nadia437 13031979 008632 Maria Hartono S.Si.,Apt. Apotek Puri Farma438 30121981 008633 Lenny S.Farm.,Apt.439 31121980 008634 Maslikhati Harna S.Farm.,Apt. RSIA Sitti Aisyah440 14041970 008635 Rini Wulandari Sugiarto S.Si.,Apt. Apotek Jireh441 06101987 008636 Shally Octavia Hendra S.Farm.,Apt.442 22091975 008637 Twieny Monica S.Si.,Apt. Apotek Mentari443 24051985 008638 Muhammad Bagus Andreas Taufani S.Farm.,Apt. Apotek Sememi444 07051984 008639 Mariana Suhartini S.Farm.,Apt. PT Parit Padang Global445 26041985 008640 Ilya Lyani Tjiangi S.Farm.,Apt. Apotek Esther DPS446 01051981 008641 Siti Fatimah S.Farm.,Apt. Guardian447 23071988 008642 Handinata Santoso S.Farm.,Apt.448 06031986 008643 Ike Lydia Suryani S.Farm.,Apt. PT Enseval Putera Megatrading449 08031986 008644 Prisayani Kandora S.Farm.,Apt. Apotek K24 Manyar450 03031981 008645 Lily Putri S.Farm.,Apt. Apotek New Prismy451 29121980 008646 Sylvi Irawati S.Farm.,Apt. PIOLK Universitas Surabaya452 07011987 008647 Yenny Mayasari Liem S.Farm.,Apt. PT Karmen Medika453 29011987 008648 Dewi Primayani Hadisaputro S.Farm.,Apt. PIOLK Universitas Surabaya454 16071985 008649 Elni Tarida Juliana Sihotang S.Farm.,Apt. PT Merapi Utama Pharma Sidoarjo455 29111988 008650 Shinta Astiadi S.Farm.,Apt. Miracle456 21021982 008651 Maria Fatima Saraswati S.Farm.,Apt. Apotek Bukit Zion457 06062011 008652 Dorkas Yuni Indarti S.Farm.,Apt.458 15011979 008653 Sisca Utami Dewi S.Si.,Apt.459 31081974 008654 Loka Suryani S.Si.,Apt.460 16041986 008655 Anastasia Ira Simanto S.Farm.,Apt. Dermasense461 20031974 008656 Devy Hendrata S.Si.,Apt. Apotek Maria462 06061984 008657 Renita Handayani Asali S.Farm.,Apt. Apotek Da-Har463 06061986 008658 Riski Nanda Aditya S.Farm.,Apt.464 13111951 008659 Lusiwati Tjakrawala Dra., Apt. Apotek Valentino465 24071981 008660 Ika Nurbani S.Farm.,Apt. Apotek Natural

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466 28091982 008661 Wulandha Hernitra S.Farm.,Apt. Puskesmas Tanjungsari467 26021974 008662 Viviant S.Si.,Apt. Apotek Setiabudi468 07081981 008663 Fitri Kusumaningtyas S.Farm.,Apt. Apotek469 16041981 008664 Yayuk Aisida S.Farm.,Apt. Apotek Davinci Farma470 28081984 008665 Popy Agustina S.Farm.,Apt. Apotek471 01011985 008666 Nadya Rahma Wardhany S.Farm.,Apt. PT Prima Mulia Sejahtera472 28051984 008667 Achlaam S.Farm.,Apt. Apotek Griya Syifaa'473 04051985 008668 Kusuma Iriyanthy Koesayu S.Farm.,Apt. Apotek Kimia Farma474 22041986 008669 Yap Boen Ling S.Farm.,Apt. PT Sehat Dapat Rejeki475 06121983 008670 Ika Novitasari S.Farm.,Apt. Profira Aesthetic Clinic476 10121984 008671 Dian Prawari Cahyaningtyas S.Farm.,Apt. Apotek Dharma477 15061980 008672 Elika Kristianti Tjoendoko S.Si.,Apt. PT Irawan Djaja Agung478 15111981 008673 Felicia Pranotodihardjo S.Farm.,Apt. PT Irawan Djaja Agung479 14051977 008674 San San Hariani S.Si.,Apt.480 18031987 008675 Galuh Nawang Prawesti S.Farm.,Apt. Apotek K-24 Indragiri481 12051960 008676 Julie Tjokroamidjojo Dra., Apt. PT Pyramid Cahaya Mulia482 02061972 008677 Yunitasari S.Si.,Apt. Apotek Rejeki Husada483 20081973 008678 Ita Triandhini Kusumawahyuni S.Si.,Apt. Apotek Trisula Farma484 17021981 008679 Rosalynn Kusuma S.Farm.,Apt. PT Ultra Prima Abadi485 26011979 008680 Mumtahanah Wati S.Farm.,Apt. Apotek Mitra Bahari486 25051978 008681 Lidya Arief S.Si.,Apt. Apotek Crystal487 21091970 008682 Elva Husada S.Si.,Apt. Apotek Pro Asma488 05121986 008683 Vira Natalia Chendriawan S.Farm.,Apt. PT Antar Mitra Sembada489 30111984 008684 Lina Hardjo S.Farm.,Apt. PT USFI490 10101985 008685 Zenia Paramita S.Farm.,Apt. Apotek Rumah Safa491 10021987 008686 Agata Stephanie Setiawati S.Farm.,Apt.492 07121972 008687 Teddy Hermawan S.Si.,Apt. Apotek Tanggul493 30121982 008688 Dian Puspita Sari S.Farm.,Apt. Apotek Faba Medika494 29061984 008689 Ida Jaizah S.Farm.,Apt. Puskesmas Dukuh Kupang495 20011984 008690 Juriani S.Farm.,Apt.496 19041971 008691 Enny S.Si.,Apt. Apotek Libra497 13051972 008692 Sari Kusumahati S.Si.,Apt. Klinik Kecantikan Naomi498 25071987 008693 Merry Anggraini Halim S.Farm.,Apt. PT Durafarma Jaya499 05051986 008694 Lianie Liwan S.Farm.,Apt. Apotek Lancar500 01111984 008695 Citra Kurniasari S.Farm.,Apt.501 07061983 008696 Diana Lady Yunita Handoyo S.Farm.,Apt.502 02071988 008697 Wenny Mayasari Tjoa S.Farm.,Apt.503 07111981 008698 Liong Ifanna Lyono S.Farm.,Apt.504 21121988 008699 Swanti Natalia S.Farm.,Apt.505 12021988 008700 Tan Ferawati S.Farm.,Apt.506 19011987 008701 Henny Puspitasari S.Farm.,Apt.507 23011987 008702 Kristy Anita S.Farm.,Apt.508 18081975 008703 Ni Nengah Suartini S.Si.,Apt. Apotek Duta Sehat509 01101986 008704 Faiza Nurinayati S.Farm.,Apt. PT K-24 Indonesia510 21071980 008705 Samuel Lindra S.Farm.,Apt. Apotek Etina Farma511 01081986 008706 Debby Lumowa S.Farm.,Apt. PT Vitapharm512 07101960 008707 .Indriani Ongkowidjojo Dra., Apt. PT Vitapharm

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513 16041983 008708 Lita Fransisca Santoso S.Farm.,Apt. PT Vitapharm514 21031987 008709 Angeli Hartatik S.Farm.,Apt. PT Vitapharm515 18081966 008710 Linda Agustin Dra., Apt. Apotek Seruni516 25071984 008711 Silvia Wijaya S.Farm.,Apt. RS Mitra Keluarga Surabaya517 18051976 008712 Endah Trianingsih S.Si.,Apt. RS Mitra Keluarga Surabaya518 01101980 008713 Sophia S.Farm.,Apt. Apotek Indo Medika519 28011985 008714 Defi Kurniawati S.Farm.,Apt. London Beauty Centre520 12011988 008715 Mithia Carolina S.Farm.,Apt. Miracle Aesthetic Clinic521 11081988 008716 Edo Agusta Suryanto Hadi S.Farm.,Apt.522 26071988 008717 Merry Yuliana Kusuma S.Farm.,Apt.523 13121984 008718 Swadarus Eliza S.Farm.,Apt. Apotek Zasha524 26061982 008719 Ronny Gunawan S.Farm.,Apt. Apotek Angelia525 24031987 008720 Yanny Karina S.Farm.,Apt. Klinik Abdi Mulia526 08051965 008721 Julidawati Hartono Dra., Apt. PT Mitra Central Asia527 16101983 008722 Lila Herani S.Farm.,Apt. Apotek Alba Medika Ploso528 03091982 008723 Vita Arisanti S.Farm.,Apt. Apotek529 03111980 008724 Veronica Devy Novita S.Farm.,Apt. PT Bernofarm530 03011982 008725 Evi Dianasari S.Farm.,Apt. Apotek Natanette531 11091987 008726 Lanny Sugiarto S.Farm.,Apt.532 07071988 008727 Irma Yuliani S.Farm.,Apt.533 19071986 008728 Gina Ayu Risetyowati S.Farm.,Apt.534 26121985 008729 Silvia S.Farm.,Apt.535 18051986 008730 Ivana Gloria Pudjianto S.Farm.,Apt.536 04111987 008731 Novaai Tanti S.Farm.,Apt.537 08021986 008732 Dinik Febriani S.Farm.,Apt.538 15031987 008733 Silvia Anggraeni S.Farm.,Apt.539 20061987 008734 Yena Crisani S.Farm.,Apt.540 27091988 008735 Stevany Kosasih S.Farm.,Apt.541 03091986 008736 Selvia Tjiang S.Farm.,Apt.542 28021989 008737 Fenny S.Farm.,Apt.543 24061987 008738 Ivon Mariani S.Farm.,Apt. PT Vitapharm544 23061986 008739 Ayu Irawati S.Farm.,Apt. Apotek KF 23545 20021986 008740 Dian Rachmawati S.Farm.,Apt.546 23061983 008741 Yusieni S.Farm.,Apt.547 10011988 008742 Linda Kristinawati Hannanto S.Farm.,Apt.548 23101987 008743 Dwi Arymbhi Sanjaya S.Farm.,Apt.549 24021987 008744 Jhonny Sanjaya S.Farm.,Apt.550 21041986 008745 Amanda Nur Aini S.Farm.,Apt.551 29051988 008746 Meryana Manigoei S.Farm.,Apt.552 17021984 008747 Devi Saraswati S.Farm.,Apt. PT K-24 Indonesia553 17031988 008748 Arini Ajifuri Anggraeni S.Farm.,Apt. K-24 Manyar554 03101987 008749 Nurmi Yunita S.Farm.,Apt.555 25111986 008750 Boy Yunaidy S.Farm.,Apt.556 27011987 008751 Priscilla Puteri Jianto, S.Farm., Apt Poliklinik Waluyo Jati557 02051988 008752 Lenny Vinawati S.Farm., Apt558 24071988 008753 Andriani Kartono S.Farm., Apt559 12031985 008754 Yuliani S.Farm., Apt

Page 13: Nomor Urut KTA Anggota PD Jawa Timur Tahap 162 31101959 008257 Effendi Rachmat Drs., Apt., SpFRS RSAL Dr.Ramelan 63 08051985 008258 Eka Kurniawati S.Farm., Apt Apotek Tiga Lima 64

560 14071982 008755 Kurnia Yulianti S.Farm., Apt Departemen Farmasi Rumkital Dr.Ramelan561 24061986 008756 Riza Yuanika Auliyah S.Farm., Apt562 14031986 008757 Satria Sukma Dewantoro S.Farm., Apt PT Rejeki Agung Makmur563 11031974 008758 Herlina Sukma Dewi S.Farm., Apt564 02071988 008759 Maya Masyitah Hamnon S.Farm., Apt Apotek K-24 Indragiri565 14051987 008760 Fitria Agus Rianti S.Farm., Apt RSUD Bhakti Dharma Husada566 21101988 008761 Verly Suryadi S.Farm., Apt567 22011987 008762 Novita Sari S.Farm., Apt Apotek Lancar568 03031985 008763 Liza Yudistira Yusan S.Farm., Apt PT Anugrah Argon Medica569 25101984 008764 Dina Rachmawati S.Farm., Apt Apotek Kencana570 20031983 008765 Elysa Mirlyana S.Farm., Apt Apotek Mitra Barat571 06091987 008766 Hery Gunawan S.Farm., Apt Apotek572 12041964 008767 Lindawati Dra., Apt. BBPOM Surabaya573 03021970 008768 Fransisca Maria Vianney S.Si., Apt. CV Natindo574 191111965 008769 Agnes Yohana Dra., Apt.575 18061986 008770 Fitroh Rachmawati S.Farm., Apt Apotek Primadona576 07071986 008771 Ervina Imawardhani S.Farm., Apt Apotek Kanani577 07041986 008772 Ratna Dwiyanti S.Farm., Apt PT Heroic578 19121986 008773 Dessy Ariza Permata S. S.Farm., Apt RSB Adi Guna579 26041984 008774 Bobby Presley S.Farm., Apt PIOLK Universitas Surabaya580 06031976 008775 Yosi Irawati Wibowo S.Si., Apt PIOLK Universitas Surabaya581 27071988 008776 Dewi Ira Puspita Tjoa S.Farm., Apt582 13051986 008777 Meily Handayani S.Farm., Apt583 08041986 008778 Lydianita Oscar S.Farm., Apt584 23091988 008779 Ni Ketut Suwedarmi Putri S.Farm., Apt585 02061986 008780 Rifa'atul Laila Mahmudah S.Farm., Apt586 24031985 008781 Haryadi Kusuma Ariodiningrat S.Farm., Apt Phyxius Pharmacy587 02091987 008782 Stephanie Aida Gunawan S.Farm., Apt588 30071988 008783 Mellisa Anastasia S.Farm., Apt589 16041987 008784 Susan Susanto S.Farm., Apt590 05071984 008785 James S.Farm., Apt Apotek Dukuh Kupang591 09061968 008786 Dra.Masriani, Apt. Dra., Apt. Apotek Okta592 03071968 008787 Dra.Maylanny Juliyanti Ongkosoetono, Apt. Dra., Apt. PT Irawan Djaja Agung593 09011986 008788 Yanti Sulistiowati, S.Farm.Apt. S.Farm., Apt594 16091985 008789 Retno Trisnani, S.Farm.Apt. S.Farm., Apt Apotek Kurma595 28121984 008790 Amrina Rosyada, S.Farm.Apt. S.Farm., Apt596 23101988 008791 Maulinda Yosi Naga, S.Farm.Apt. S.Farm., Apt PT Itrasal597 15041988 008792 Filia Sari Ade Irawan, S.Farm.Apt. S.Farm., Apt598 5111985 008793 Lailul Nurus Sofah, S.Farm.Apt. S.Farm., Apt Apotek X Jemursari599 31121983 008794 Denny Prasetio, S.Farm.Apt. S.Farm., Apt600 30031989 008795 Sari Angela Hendro Putri, S.Farm.Apt. S.Farm., Apt601 22081964 008796 Dra.Watari Budiono, Apt. Dra., Apt. Apotek Tjie Putra602 30121985 008797 Syamsih, S.Farm.Apt. S.Farm., Apt PT Glaxo Wellcome Indonesia603 04121985 008798 Farhat Attamimi, S.Farm.Apt. S.Farm., Apt PT Glakso Smith Kline604 17111985 008799 Puspita Mayasari Sutanto, S.Farm.Apt. S.Farm., Apt PT Parit Padang Global605 07041987 008800 Dian Natasya Raharjo, S.Farm.Apt. S.Farm., Apt Fakultas Farmasi Universitas Surabaya606 07121983 008801 Ike Desy Arisanti, S.Farm.Apt. S.Farm., Apt Apotek Centurion

Page 14: Nomor Urut KTA Anggota PD Jawa Timur Tahap 162 31101959 008257 Effendi Rachmat Drs., Apt., SpFRS RSAL Dr.Ramelan 63 08051985 008258 Eka Kurniawati S.Farm., Apt Apotek Tiga Lima 64

607 04121984 008802 Dahlia Fatmawati, S.Farm.Apt. S.Farm., Apt Apotek Malika Medica608 31051984 008803 Galuh Retno Rusanti, S.Farm.Apt. S.Farm., Apt Apotek Rindang Farma609 26021988 008804 Maria Syelviana S.Farm., Apt Apotek Borneo610 20091985 008805 Tirto Rusman Harjono S.Farm., Apt CV Untung Kumoro611 05121985 008806 Atika Pratiwi S.Farm., Apt Puskesmas Medokan Ayu612 15011983 008807 Shilvya Ely S.Farm., Apt613 19111983 008808 Nita Carolina Kristiadi S.Farm., Apt Apotek Pirus614 10121985 008809 Ambi Kuswita Rachmawati S.Farm., Apt615 16061982 008810 Anna Hariyanti S.Farm., Apt Puskesmas Asemrowo616 08021970 008811 Fauna Herawati Budisutio S.Si., Apt. Fakultas Farmasi Universitas Surabaya617 30071982 008812 Juliyana Puspa Sari S.Farm., Apt RS Gotong Royong618 22011983 008813 Fanny S.Farm., Apt Apotek Fortune619 27021973 008814 Yenny S.Si., Apt. Apotek Gubeng620 11031987 008815 Adriel Marcellus Enggai S.Farm., Apt Apotek Doulos Alpha621 29111982 008816 Novia Suyanti S.Farm., Apt622 22101979 008817 Victoria S.Si., Apt. Apotek Limolas623 09031969 008818 Kartika Inggraeni S.Si., Apt. Apotek Jireh 2624 16061985 008819 Urifat Hasanah S.Farm., Apt Apotek Telemedika Farma 5625 01121981 008820 Shelly Fauzia S.Farm., Apt Apotek Wuanggito626 02061988 008821 Elisa S.Farm., Apt Apotek Bethesda627 04041984 008822 Aprilia Palupy S.Farm., Apt PT Anugrah Argon Medica628 31031978 008823 Karnadi Tjaniadi S.Si., Apt.629 17071981 008824 Nenny Nur Amalia S.Farm., Apt Apotek Manukan Kulon630 13041987 008825 Aprilya Citra S.Farm., Apt Apotek Medayu Farma631 10061983 008826 Ratih S.Farm., Apt Fakultas Farmasi Universitas Surabaya632 13051981 008827 Siska Sanjaya S.Farm., Apt633 29031976 008828 Willyanto Anwar S.Si., Apt. Apotek634 19071944 008829 Dra.Rina Surjani Purwadipura Dra., Msi.,Apt. Fakultas Farmasi Universitas Surabaya635 06051987 008830 Diana Budiman S.Farm., Apt PBF Mulya Raya Petra Sejahtera636 21031980 008831 Arief Gunawan Darmanto S.Si., Apt. Apotek Anne637 21081972 008832 Sienny Soetrisno S.Si., Apt. PT Dnutri World638 10101986 008833 Adelia Hendryanto S.Farm., Apt PT Parit Padang Global639 03091970 008834 Lisa Aditama S.Si.M.Farm-Klin, Apt. Apotek Ubaya640 06021986 008835 Oki Nugraha Putra S.Farm., Apt Apotek Suraya641 23091988 008836 Vicky Victoria Kurniawan S.Farm., Apt642 19041972 008837 Feryana Ongkowijoyo S.Si., Apt. PJ Tjap Spoor643 06051981 008838 Sissy Saraswati Julietta S.Farm., Apt Apotek Subur Prajitno644 13041985 008839 Evi Adriani Suciadi S.Farm., Apt Apotek Sentra Berkat645 14021970 008840 Paulus Valentinus Agus Setyawan S.Si., Apt.646 08101966 008841 Lilian Sumayong S.Si., Apt. Apotek Alisa647 18061977 008842 Sulistyowati S.Farm., Apt Apotek Gohlis648 10121972 008843 Maria S.Si., Apt.649 17051970 008844 Ninik Soekwanto S.Si., Apt. Apotek Kapasari650 07051984 008845 Mukaromah S.Farm., Apt Apotek Rahman651 14101988 008846 Lindawati S.Farm., Apt652 15101987 008847 Paul Octavianus S.Farm., Apt PT Erha Medicals653 12071988 008848 Cecelia Diah Wijaya S.Farm., Apt

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654 01051980 008849 Christina Siulan Rumondor S.Farm., Apt Siloam Hospitals Surabaya655 28081986 008850 Sherly Limanto S.Farm., Apt656 08081984 008851 Milionita Gunawan S.Farm., Apt PT Sahabat Lingkungan Hidup657 07081982 008852 Elsa S.Farm., Apt Apotek Megah658 01061981 008853 Yunti Fitriani S.Farm., Apt Dinkes Prop.Jatim659 30111986 008854 Meriam Novitalia S.Farm., Apt660 11051987 008855 Merlina Harianto S.Farm., Apt661 12121988 008856 Dessy S.Farm., Apt662 31031988 008857 Selva Tiodora S.Farm., Apt663 19101988 008858 Patmawati S.Farm., Apt664 24111987 008859 Ong Henny Kusumawaty S.Farm., Apt665 06061987 008860 Yunita S.Farm., Apt666 13021989 008861 Febby Kurniawati Pranajaya S.Farm., Apt667 06101986 008862 Luciana Mariana Rotinsulu S.Farm., Apt668 22121986 008863 Metta Kristina S.Farm., Apt669 27041988 008864 Chaterina Sujana S.Farm., Apt670 08051988 008865 Merlin Kristiani Tapatfeto S.Farm., Apt671 09121982 008866 I Gusti Ayu Desy Lestari S.Farm., Apt Apotek Charity672 16121988 008867 Nita Christina Susanto S.Farm., Apt PBF PT Sejahtera Surya Intrio673 08041984 008868 Nieta Mayasari S.Farm., Apt Puskesmas Wiyung674 19101987 008869 Olivia Ilian S.Farm., Apt PT Parit Padang Global675 22111986 008870 Lusiana Widiastuti S.Farm., Apt676 17021988 008871 Femi S.Farm., Apt677 03101968 008872 Weny Dianawati Saputro S.Si., Apt. Apotek Sonia678 10021962 008873 Rosdiana Indra Dewi Dra., Apt.679 22121988 008874 Sherly Tandi Arang S.Farm., Apt680 01101985 008875 Octy Hapsari S.Farm., Apt681 11091982 008876 Venny Diah Ningsih S.Farm., Apt682 14121983 008877 Tjoa Indrawati,S.Farm S.Farm., M.Farm-Klin Apt RS Adi Husada Undaan Wetan683 17081974 008878 Vera Liando S.Si., Apt. RS Adi Husada Undaan Wetan684 31071980 008879 Hilda Muliana S.Si., Apt., Sp.FRS. RS Adi Husada Undaan Wetan685 20091974 008880 Farkhanah S.Si.,Apt Apotek Kerta Indah Farma686 28021986 008881 Yulika Puspasari S.Farm., Apt687 05071985 008882 Anggit Kusuma Hapsari S.Farm., Apt688 24041986 008883 Dhany Pratama Sari S.Farm., Apt689 27061985 008884 Fisda Yuanita Kusumastuti S.Farm., Apt690 30051973 008885 Linda Cromasvera S.Si., Apt RSAL Dr. Oepomo691 27101982 008886 Fitri Soraya S.Farm., Apt Apotek Rahmafida692 28031981 008887 Susana S.Farm., Apt Apotek Elpidus Farma693 08111982 008888 Sang Ayu Putu Sutarini S.Farm., Apt Apotek Puri Husada694 23111972 008889 Mapindo Narwati S.Si., Apt RS Marinir Gunungsari Surabaya695 21081979 008890 Felicia Hadi S.Si., Apt PT. Roi Surya Prima Farma696 26031987 008891 Sitti Sahraeni Syamsul S.Farm., Apt Apotek Etna Farma697 04021987 008892 Citra Enjeli Wong. S.Farm., Apt698 04031984 008893 Ely S.Farm., Apt Apotek Apollo699 06111985 008894 Lely Andrian Kosasi S.Farm., Apt Apotek700 07121986 008895 Theresia Amelia Istanto S.Farm., Apt

Page 16: Nomor Urut KTA Anggota PD Jawa Timur Tahap 162 31101959 008257 Effendi Rachmat Drs., Apt., SpFRS RSAL Dr.Ramelan 63 08051985 008258 Eka Kurniawati S.Farm., Apt Apotek Tiga Lima 64

701 29101988 008896 Imelda Palit S.Farm., Apt702 14091988 008897 Devi Putri Liwantara S.Farm., Apt703 06051988 008898 Devina Fransisca Wijaya S.Farm., Apt704 02111988 008899 Tomy Suharto S.Farm., Apt705 20031981 008900 Mayoni Mahardhika S.Farm., Apt Apotek X Ngagel Jaya706 06101981 008901 Sieltje Kurniawan S.Farm., Apt PT. Subur Prajitno Kosmetika707 27111963 008902 Siti Nuraida Dra., Apt. Apotek Mitro Rahayu708 27031986 008903 Maria Philomena Erika Regga S.Farm., Apt709 14051987 008904 Indah Puspitasari S.Farm., Apt710 14071988 008905 Siaw Siska Yulinda S.Farm., Apt711 08091984 008906 Irwanto S.Farm., Apt712 22011987 008907 Rossa Tanjung Sari S.Farm., Apt713 01101981 008908 Dwi Octamy Sari S.Farm., Apt RSAL Dr. Ramelan Surabaya714 28051988 008909 Yosiko Meivia Sari S.Farm., Apt715 13101986 008910 Olivya Chriestine Anggraeni Kusuma S.Farm., M.Farm-Klin.,Apt PT. Jamu Iboe Jaya716 02051982 008911 Diah Ayu Purwaningtias S.Farm., Apt PT. Novapharin717 31071981 008912 Yulianawati S.Farm., Apt Apotek PURI HUSADA 2718 06081987 008913 Agus Pranajaya S.Farm., Apt719 18061981 008914 Yuni Veronica S.Farm., Apt PT. RAMA MULIA COSMETIC INDUSTRY720 17091984 008915 Sri Sundari S.Farm., Apt721 14051986 008916 Stephani Jenny Sutanto S.Farm., M.Farm-Klin., Apt722 29031983 008917 Sienny Prayogo S.Farm., Apt UD. Narwastu723 05041988 008918 Armin Husodo S.Farm., Apt724 18011988 008919 Sinta Dewi Koo S.Farm., Apt725 07091987 008920 Septin Veronica S.Farm., Apt726 05081987 008921 Goenawan Adhi Wananto S.Farm., Apt727 14081972 008922 Anita Widjaja S.Si., Apt Apotek Saba B728 09031931 008923 Kunarti Sindhuhardja Dra., Apt.729 02061976 008924 Jenny Indratno S.Si., Apt Apotek M-Farma730 05051976 008925 Errita S.Si, Apt Apotek Klampis Farma731 03121964 008926 Handjono S.Si., Apt.732 27011975 008927 Like Melanie S.Si., Apt PT Makarizo Indonesia733 21111979 008928 Ratna Oktavia S.Farm., Apt Apotek Cheche734 09031980 008929 Diah Wiarsih S.Farm., Apt Apotek Kencana Medika735 27111969 008930 Ellyanna Ali S.Si., Apt. PT Wiro Sativa Farmindo736 16041968 008931 Sri Rahayu S.Si., Apt. Apotek Iboe Store737 29061969 008932 Ignatia Mardiana S.Si., Apt PT Jamu Iboe Jaya738 18081978 008933 Maria Jessie Suprapto S.Si., Apt. PT Tri Tunggal Farmindo739 31031962 008934 Erlina Tjandra Dra., Apt. Apotek Abdi Mulia740 20111967 008935 Elvina Soekiman S.Si., Apt. CV Estheria Cosmetic741 26101977 008936 Hawky Tanjung S.Si., Apt. Apotek Sarana Sehat742 10051977 008937 Linda Gunawan S.Si., Apt. Apotek Marturia743 30121981 008938 Levy Nathalia S.Farm., Apt RS Siloam Surabaya744 07051955 008939 Alberta Florence Antoinette Dra., Apt. Apotek Eben Haezer745 25051980 008940 Dian Palupi S.Farm., Apt Klinik Kasih Karunia 2746 21021979 008941 Donny Budi Santoso S.Farm., Apt PT Durafarma Jaya747 16071978 008942 Deny Wijayanto S.Farm., Apt Apotek Sancaka

Page 17: Nomor Urut KTA Anggota PD Jawa Timur Tahap 162 31101959 008257 Effendi Rachmat Drs., Apt., SpFRS RSAL Dr.Ramelan 63 08051985 008258 Eka Kurniawati S.Farm., Apt Apotek Tiga Lima 64

748 21101978 008943 Evi Octavia S.Si., Apt. Apotek Kimmy749 19031982 008944 Nadiyah Jehan S.Far.Apt Apotek Natasha 4750 13111962 008945 Naniek Novijanti Dra., Apt.751 13051982 008946 Rendy Ravianto S.Farm., Apt Puskesmas Kalirungkut752 19011978 008947 Titis Puji Lestari S.Si., Apt. PKM Tanah Kali Kedinding Surabaya753 13011981 008948 Oelva Dianawati S.Farm., Apt Apotek Sherwin754 08111973 008949 David Kohar S.Si., Apt. PT Interbat755 03061980 008950 Lindra Bunga S.Farm., Apt Puskesmas Sememi756 03091982 008951 Mira Susanti Ardi Kusuma S.Farm., Apt RS Bhakti Dharma Husada757 30051979 008952 Amrik Rushindarti Cahyani S.Farm., Apt CV Cahaya Adiprana Distribusindo758 18091980 008953 Nanik Juliatin, S.Farm.Apt. S.Farm., Apt Apotek Swakelola Yeka Tiga759 11101978 008954 Erva Rediyanti, S.Farm.Apt. S.Farm., Apt Surabaya Skin Centre760 26111972 008955 Nur Zainab, S.Si.Apt. S.Si., Apt. BBPOM Surabaya761 19051977 008956 Rini Wulansari, S.Si.Apt. S.Si., Apt BBPOM Surabaya762 21011978 008957 Indah Ekarini S.Si., Apt BBPOM Surabaya763 08081981 008958 Bagoes Lanang S.Farm., Apt BBPOM Surabaya764 31101979 008959 Monicca Christy S.Si., Apt. PT Vitapharm765 08051982 008960 Setiajie Cahyadi S.Farm., Apt Apotek Alam Ria Farma766 01031951 008961 Darmo Handoyo Drs.,Apt Apotek Adi Farma767 11101980 008962 Wahyu Dyah Puspitasari S.Farm., Apt Apotek Sugeng768 15051981 008963 Theresia Indriyanti S.Farm., Apt Apotek Alda769 01081973 008964 Herlina S.Si., Apt770 23081987 008965 Afed Hartanto S.Farm., Apt PT Vitapharm771 29031970 008966 Amir Agus Said Drs., Mkes., Apt Departemen Farmasi RSAL Dr.Ramelan772 23031965 008967 Ratna Dewijanti Dra.,Apt PT Durafarma Jaya773 27041950 008968 Handojo Widodo Drs., Apt. PT Vitapharm774 08071949 008969 Anny Indrayani Dra., Apt. PT Wiro Sativa Farmindo775 07081947 008970 Budiono Santoso Drs., Apt. PT Durafarma Jaya776 24031983 008971 Nuke Maretnowati S.Farm., Apt Puskesmas Balongsari777 13011969 008972 Asthorip S.Si., Apt.778 14101955 008973 Trie Widayati Dra., Apt.779 21061954 008974 Sugijanto Prof.Dr.MS., Apt Fakultas Farmasi Universitas Airlangga780 00011900 008975 Noor Erma Nasution Dr.MS., Apt. Fakultas Farmasi Universitas Airlangga781 05041980 008976 Rara Dyah Chrissanti S.Farm., Apt BBPOM Surabaya782 25021980 008977 Elfri Padolo S.Si.,SpFRS., Apt.783 02011978 008978 Purwati Puji Lestari S.Si., Apt Apotek Wijaya Putra784 04061983 008979 Sinari Alfat Sunarko S.Farm., Apt PT Sumber Mitra Agung Jaya785 02021966 008980 Tan Christina Santika Hartanto Dra., Apt. Apotek Teta786 05051960 008981 Mochammad Yuwono Prof.Dr.rer.nat.MS., Apt Fakultas Farmasi Universitas Airlangga787 10081974 008982 Sri Gunarso S.Si., Apt.788 06101948 008983 Mursyam Drs., Apt.789 16111947 008984 Merdi Juretta Dra., Apt.790 02091980 008985 Dyan Wahyu Sukmo Wiyono S.Si., Apt. PT Meiji791 09051982 008986 Chandra Wigati Wiji S.Farm., Apt Apotek X792 02051983 008987 Dewanti Wardhani S.Farm., Apt793 07091964 008988 Paulus Totok Lusida Drs., Apt. Apotek Binangun794 17031977 008989 Meliana S.Si., Apt. Apotek Amore Farma

Page 18: Nomor Urut KTA Anggota PD Jawa Timur Tahap 162 31101959 008257 Effendi Rachmat Drs., Apt., SpFRS RSAL Dr.Ramelan 63 08051985 008258 Eka Kurniawati S.Farm., Apt Apotek Tiga Lima 64

795 04071981 008990 Dwi Kusumawardhani S.Farm., Apt796 20031952 008991 Nurul Herliani Dra, MS. Apt.797 05061968 008992 Eni Zuniati Dra.,Apt BBPOM Surabaya798 06101975 008993 Fitri Marita S.Si., Apt RS Adi Husada Kapasari799 30101933 008994 Soewandhy Widjaja Drs.,Apt PT USFI800 29081961 008995 Agustina Dra.MMR., Apt. RSUD Dr.Soetomo Surabaya801 06071979 008996 Meliza Miranda Widyasari S.Si., Apt. BBPOM Surabaya802 25051982 008997 Shanny Magaline S.Farm., Apt Apotek803 01021973 008998 Lucia Jenny Linawati S.Si., Apt. PT USFI804 24091980 008999 I'ien Indarwati S.Farm., Apt PKM Tambakrejo805 15061982 009000 Sherly Widjaja Gunawan S.Farm., Apt806 15051965 009001 Maya Leilia Gayatri S.Si., Apt Apotek SIP2807 01011983 009002 Ineke Kurniawati S.Farm., Apt808 09101980 009003 Fenny Oktavina S.Si., Apt. Apotek Bethesda809 23021982 009004 Nenny Anggraeni Safradji S.Farm., Apt Apotek K3810 15031982 009005 Yohanna Indriastutik S.Farm., Apt811 31051965 009006 Mery Dra.,Apt812 04051980 009007 Silvia Kuncoro S.Farm., Apt813 09091980 009008 Fanny Lukman S.Si., Apt Apotek Pangestu Nugraha814 03071981 009009 Aisianti Nur Kartini S.Farm., Apt Apotek Natasha 2815 11051982 009010 Ratna Sari Dewi S.Farm., Apt Apotek Pharmacare816 07021975 009011 Veronica Lahindah S.Si., Apt. PT Eskol Surya Anugerah817 11091979 009012 Trisiana Lahindah S.Si., Apt. UD Pilar Mas818 30091974 009013 Wibowo Septiawan Ramadhona S.Si., Apt. Apotek Natasha 1819 20121981 009014 Deisy S.Farm., Apt Apotek Selaras820 30061976 009015 Inna Theresiana S.Si., Apt. Apotek Century Supermall Pakuwon821 06071976 009016 Grace Ratnawati S.Si., Apt Apotek Fajar822 19081979 009017 Lucia Herminawati S.Si., Apt. PT Prodia Widyahusada823 13021971 009018 Diah Citraleka Vimalasari S.Si., Apt.824 19041981 009019 Sherly Valentina S.Farm., Apt PBF Astro Mega Farma825 21091963 009020 Lusy Sutjik Permana, Dra., Apt. Apotek Pujo826 05021981 009021 Faradiba S.Farm., Apt Apotek Okky827 02021981 009022 Munira S.Farm., Apt Apotek Amira828 30111972 009023 Novi Wahjuning Wuri S.Si., Apt. PT Romos Inti Cosmetic829 18071981 009024 Dina Wijaya, S.Farm., Apt PT Radiant Group830 25111981 009025 Rustanly Agus Tjahjono, S.Farm., Apt Apotek Chris Kencana831 22011981 009026 Yani Rahayu Ongko Soetikno, S.Farm., Apt PT Heroic832 09041971 009027 Cipto Sugianto S.Si., Apt. Apotek Ria Farma833 29011981 009028 Debby Januari Kurniasari S.Farm., Apt Apotek Debby Farma

KETERANGAN :

- Untuk menghindari Penomoran Ganda dengan PD IAI lainnya, mohon mengirimkan data anggota, apabila ada penambahan anggota yang lainnya.

Total : 833 Anggota

NOMOR KARTU TANDA ANGGOTA NASIONAL

Page 19: Nomor Urut KTA Anggota PD Jawa Timur Tahap 162 31101959 008257 Effendi Rachmat Drs., Apt., SpFRS RSAL Dr.Ramelan 63 08051985 008258 Eka Kurniawati S.Farm., Apt Apotek Tiga Lima 64

MOHON UNTUK DILENGKAPI

No. NOMOR ANGGOTA NAMA GELAR INSTANSI

834 Robby Sondakh Drs. Apt. MS835 Totok Sudjianto Drs. Apt. MKes -

Nani ParfatiUmi Athiyah