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Date Transaction Note Debit(Rp.

)
1/4/2019 M-BK TRF CA/SA DARI CAECILIA SUNARTI D. 0,00
1/4/2019 PRMA CR Transfer 1030007035005 6019002681971109 S1ACMB9503/935383 0,00
1/4/2019 PRMA CR Transfer 1030007035005 6019001691988855 S1ACMB9503/916899 0,00
1/4/2019 MCM InhouseTrf CS-CS Seminar1meihanning DARI HANNING SRI WULANDARI Sem0,00
2/4/2019 PRMA CR Transfer 1030007035005 5104811021802313 1600011007/181107 0,00
2/4/2019 ATM-MP Cr Tfr 1030007035005 6013013349876305 S1AWU68L /54567640 0,00
2/4/2019 PRMA CR Transfer 1030007035005 6019004514285293 S1ACMB9503/447339 0,00
2/4/2019 PRMA CR Transfer 1030007035005 6019002020851475 S1G997Z6BU/2191 0,00
2/4/2019 PRMA CR Transfer 1030007035005 6019005513696539 S1ACMB9503/174016 0,00
3/4/2019 ATM-MP SA IssDes XMD 1230004155166 1030007035005 409766245634200 0,00
4/4/2019 PRMA CR Transfer 1030007035005 5379412027538445 S1ACMB9503/531326 0,00
4/4/2019 INW.CN-SKN CR SA-MCS JUNI FERNANDO RAMADHANI - 014 BANK CENTRAL ASIA P0,00
4/4/2019 PRMA CR Transfer 1030007035005 6019001699113852 S1G997Z3MB/181 0,00
5/4/2019 PRMA CR Transfer 1030007035005 6019007508603074 S1ACMB9503/473300 0,00
5/4/2019 PRMA CR Transfer 1030007035005 6019001724756881 S1G998166L/2953 0,00
5/4/2019 MCM InhouseTrf CS-CS Nur Indah Pratiwi S.Farm. Apt DARI DAMA ARYANI Nur Indah0,00
5/4/2019 SA Cash Dep NoBook BIAYA SEMINAR 1-5-2019 PENGURUS CABANG IAI 0,00
6/4/2019 PRMA CR Transfer 1030007035005 5379412019789469 S1G998272A/909 0,00
6/4/2019 ATM-MP SA IssDes XMD 1230004888527 1030007035005 409766288142530 0,00
6/4/2019 PRMA CR Transfer 1030007035005 6019007504146375 S1G997Z4XU/7482 0,00
10/4/2019 PRMA CR Transfer 1030007035005 6019002672038892 S1G9987045/6178 0,00
12/4/2019 ATM-MP Cr Tfr 1030007035005 5264222512747049 S1HGRT12BB/7856 / 0,00
16/04/2019 ATM-MP SA IssDes XMD 0060009846001 1030007035005 409766287544002 0,00
16/04/2019 ATMLINK CR Transfer 1030007035005 5264232370097296 S1GDMG07EU/38900,00
16/04/2019 ATM-MP SA IssDes XMD 1560002934356 1030007035005 409766244328055 0,00
16/04/2019 ATMLINK CR Transfer 1030007035005 5264232370088105 S1CIB001TE/000 0,00
16/04/2019 ATMLINK CR Transfer 1030007035005 5264230810143456 S1CIB001TE/000 0,00
16/04/2019 ATMLINK CR Transfer 1030007035005 5264230810143456 S1CIB001TE/000 0,00
16/04/2019 ATMLINK CR Transfer 1030007035005 5210838200334991 S1CIB001TE/000 0,00
17/04/2019 M-BK TRF CA/SA W/TXT seminar DARI MUARIFAH SRI LANIYAH 0,00
17/04/2019 ATM-MP SA IssDes XMD 1270006731820 1030007035005 461699321894234 0,00
17/04/2019 PRMA CR Transfer 1030007035005 6019001730177882 S1ACMB9503/359279 0,00
17/04/2019 SA ATM Dr Trf DARI SRI HARINAH S1AW1B61 /6654495277/ATM-CIRCLE-KKEM 0,00
18/04/2019 SA ATM Dr Trf DARI KASMIDA AZIS S1AD123T /5051845508/ATM-BADANPOM 02 0,00
18/04/2019 PRMA CR Transfer 1030007035005 5260512008237883 S1ACMB9503/334310 0,00
18/04/2019 PRMA CR Transfer 1030007035005 6019005518642876 S1G998529D/5102 0,00
18/04/2019 ATMB CR Transfer OM360451 /0923178029/ATB-0000000000451 7107859912 0,00
19/04/2019 PRMA CR Transfer 1030007035005 5379412008761362 S1ACMB9503/878778 0,00
19/04/2019 ATM-MP SA IssDes XMD 1670000742238 1030007035005 603298890244988 0,00
19/04/2019 MCM InhouseTrf CS-CS transfer seminar ibnu munzir DARI TUTI HANDAYANI transfe0,00
20/04/2019 PRMA CR Transfer 1030007035005 5049481200012190 10485398 /990411 0,00
20/04/2019 ATM-MP Cr Tfr 1030007035005 6013011065583469 00095328 /000000201 0,00
21/04/2019 PRMA CR Transfer 1030007035005 5307952017472607 S1ACMB9503/767934 0,00
21/04/2019 PRMA CR Transfer 1030007035005 6018990019195154 5700000001/382873 0,00
21/04/2019 ATMB CR Transfer S1ADA212 /5049502607/ATB-0000200000000 7115175992 0,00
21/04/2019 PRMA CR Transfer 1030007035005 6019001760187678 S1G997Z68U/8709 0,00
21/04/2019 MCM InhouseTrf CS-CS DARI DINI SESHA MULANI 0,00
21/04/2019 PRMA CR Transfer 1030007035005 5379412013590095 S1ACMB9503/286198 0,00
22/04/2019 PRMA CR Transfer 1030007035005 5049481200037128 00000868 /1502 0,00
22/04/2019 PRMA CR Transfer 1030007035005 6035157100002371 1300000000/342163 0,00
22/04/2019 PRMA CR Transfer 1030007035005 6035157100002371 1300000000/342046 0,00
22/04/2019 ATM-MP SA IssDes XMD 1190005592389 1030007035005 40976624353231 0,00
22/04/2019 SA Cash Dep NoBook SEMINAR 1 MEI 2019 PENGURUS CABANG IAI 0,00
22/04/2019 ATMB CR Transfer OM360451 /0740192138/ATB-0000000000451 7095873825 0,00
23/04/2019 ATMB CR Transfer ATM34101 /0207574831/ATB-0000000000451 7049419637 0,00
24/04/2019 SA Cash Dep NoBook SEMINAR&WORK SHOP 1/05/19 RIENA LIMIARTI PENGURUS0,00
24/04/2019 PRMA CR Transfer 1030007035005 6019001754330011 S1ACMB9503/940549 0,00
24/04/2019 PRMA CR Transfer 1030007035005 6019001730177882 S1ACMB9503/905358 0,00
24/04/2019 PRMA CR Transfer 1030007035005 6019001762630907 S1ACMB9503/829380 0,00
25/04/2019 MCM InhouseTrf CS-CS seminar 1 mei 2019 DARI FITRIYANI seminar 1 mei 2019 0,00
25/04/2019 INW.CN-SKN CR SA-MCS ANDI DEVAWATI - 526 BANK DINAR JAKARTA PEMBYARAN0,00 S
25/04/2019 ATMLINK CR Transfer 1030007035005 5264221202395333 S1CIB001TE/000 0,00
25/04/2019 ATMLINK CR Transfer 1030007035005 5264220172215265 51575199 /450 0,00
26/04/2019 ATM-MP Cr Tfr 1030007035005 5264231810311291 S1CJNG12GG/7454 / 0,00
26/04/2019 ATM-MP SA IssDes XMD 1160001012609 1030007035005 40976628822534 0,00
27/04/2019 SA ATM Dr Trf DARI CHRISTINA INDRAWATI S1AWUYEU /8969857657/ATM-SUNANG 0,00
27/04/2019 SA ATM Dr Trf DARI CHRISTINA INDRAWATI S1AWUYEU /8969857655/ATM-SUNANG 0,00
27/04/2019 PRMA CR Transfer 1030007035005 6032988617319061 S1G998081J/6405 0,00
28/04/2019 PRMA CR Transfer 1030007035005 5307952010491943 S1ACMB9503/356940 0,00
29/04/2019 SA ATM Dr Trf DARI IKA SULISTYANINGSIH S1AW12KQ /5075812165/ATM-MITRAKE0,00
29/04/2019 MCM InhouseTrf CS-CS Seminar dan workshop tgl 1may 2019 DARI LINA PRISKILAS0,00
29/04/2019 ATM-MP SA IssDes XMD 1180010034170 1030007035005 461699320135529 0,00
29/04/2019 INW.CN-SKN CR SA-MCS IR STEFANUS SEHONANDA - 153 0,00
30/04/2019 MCM InhouseTrf CS-CS DARI PUSPA WIJAYANTI 0,00
Credit(Rp.)
125.000,00 1 CAECILIA SUNARTI DJAJADI
125.000,00 2 LIANA SARI
125.000,00 3 MARIA IMMACULATA
125.000,00 4 HANING SRI WULANDARI
125.000,00 5 ANNISA
125.000,00 6 LINCERIA TAMPUBOLON
125.000,00 7 AMINAH
125.000,00 8 MEY TYEN
125.000,00 9 ELISASTRA KURNIAWAN
125.000,00 10 HERLINA SIBUEA
125.000,00 11 YULISTINA RUMEKTI
125.000,00 12 DEWI CITRA
125.000,00 13 TRIANA SULISTIORINI
125.000,00 14 LILIK KARTINI
125.000,00 15 RATIH KUSUMA WARDHANI
125.000,00 16 NUR INDAH PRATIWI
125.000,00 17 GOZARI EFFENDY
125.000,00 18 MARIANA RAINI
125.000,00 19 SURYA OKTAFERRY
125.000,00 20 ELLY HELWANI
125.000,00 21 HERLENA SUSANTO
125.000,00 22 NURHAMIDAH
125.000,00 23 SEHAT GINTING
125.000,00 24 HERLINA PERTIWI
375.000,00 25,26,27 INDRIA WARDANI MIA ASTARI TRI WAHYUNINGSIH
125.000,00 28 ISTIE DWI KISWINDARI
125.000,00 29 SITI HADIJAH
125.000,00 30 YULINDA
125.000,00 31 DESI HANDAYANI
125.000,00 32 MUARIFAH SRILANIYAH
125.000,00 33 ATIKA SHABRINA
125.000,00 34 DESI YANTI
125.000,00 35 SRI HARINAH
125.000,00 36 KASMIDA
125.000,00 37 MICHAEL M
125.000,00 38 DEBBY ANGGRAITA
125.000,00 39 DWI SUSANTI
125.000,00 40 FUJI MAIKEL
125.000,00 41 EDINUR Belum
125.000,00 42 IBNU MUNZIR
250.000,00 43, 44 DEWI ARSIAH RUJIA NINGSIH
125.000,00 45 IRMAWATI
125.000,00 46 FITRIA CHAIRUNNISA
125.000,00 47 FITRI N
125.000,00 48 ANINDITA DWI
125.000,00 49 SUPARLI BACHSYURI
125.000,00 50 DINI SESHA
125.000,00 51 LAILI ZAHIROH
125.000,00 52 RAHMAT RIYADI
125.000,00 53 RITA JUWITA
125.000,00 54 LINNA
125.000,00 55 SOEJATI LIANA
125.000,00 56 GUNAWAN KERTASASMITA
250.000,00 57, 58 SARI NURIYATI SITI JAMILAH
250.000,00 59, 60 PUDJIASIH TJAHJAWATI TRI EDY ASTUNIEK
125.000,00 61 RIENA LIMIARTI
125.000,00 62 FERI FADLI
250.000,00 63, 64 OKTAVIANI FERA KURNIAWATI (PENGGANTI PATRA MANURUNG)
125.000,00 65 SAFIRUDIN
125.000,00 66 FITRIYANI
250.000,00 67, 68 ANDI DEVAWATI GITA PUSPITANINGSIH
125.000,00 69 FRANSISKA SITOMPUL
125.000,00 70 SRI WAHYUNI
125.000,00 71 JEANY PANGESTUTI
125.000,00 72 WILANY WINATA
125.000,00 73 CHRISTINA INDRAWATI
125.000,00 74 MARYUMI
125.000,00 75 KARLINA WAU
125.000,00 76 ANGELIKA BONG
125.000,00 77 EGNES SIRAIT
250.000,00 78, 79 OLIVIA RAQUEL BARBARA LINA PRISKILASTUTI
125.000,00 80 PATRA MANURUNG
125.000,00 81 PAULINA I TEDJAKUSUMA
125.000,00 82 PUSPA WIJAYANTI
83 ITA OKTARIA RSUD KEMAYORAN
TRI WAHYUNINGSIH
PATRA MANURUNG)
Tandatangan
No. Name Lengkap No KTA Nama Apotek Alamat Apotek No telp Email
Kehadiran Sertifikat

1 Maria ImmaCulata 30101988027856 RS. Atma Jaya Jln. Pluit Raya 082114195671 immaclementez2330@gmail.com

Mall Kelapa Gading 3 unit #G-43 Lt. Dasar,


2 Caecilia Sunarti Djajadi, Dra., Apt. 25101953001258 Ap. Erha 21 Kel. Kelapa gading timur, kec. Kelapa 08118506040 caecilia.sunarti@yahoo.com
gading, Jakarta Utara

3 Liana Sari 19021986003190 Ap. Erha 21 Emporium 0818-154-071 liana.ylie@gmail.com

4 Hanning Sri Wulandari 09021994046390 Ap. KF Sunter 0822-2523-9869

5 Annisa 26101989049341 Ap. Sunter Indah 0838-7222-3940 ngiknguk_cn@yahoo.co.id

021-45842031 / Lauwrent@yahoo.com
6 Mey Tyen, S.Farm., Apt. 10101982060920 Ap. Alvin Farma Boulevard Raya LB 1 / 20
021-24521680

Jln. Sungai Landak no 6 Kel. Cilincing Kec.


7 Elisastra Kurniawan 25041991043057 Ap. Murah Farma Cilincing Kota Jakarta Utara, DKI Jakarta 082310702006 sastrakurniawan04@gmail.com

8 Aminah 01051968001331 Ap. Sunda Kelapa Jl.Kakap no 33 08129225715 Apoteker.aminah@gmail.com

Jl.Pluit Kencana Raya No .25 Pluit Jakarta


9 Linceria Tampubolon 08121954054314 Ap. Kencana Raya Utara 08129485546 ceriatampubolon8@gmail.com

10 Herlina Sibuea 13111955003044 Ap. Bundaran Slipi Jakarta Pusat herlinasibuea@gmail.com

11 Dewi citra 18111990043708 Ap. Panda Jl. Paradise barat II blok C no. 40, sunter 0216404354 citrasikumbang@gmail.com

12 Triana Sulistiorini,SSi,Apt 22041972026589 Ap. Tri Arga Jl.Kebon Kacang I No.6 089520353495 trianasulistiorini@gmail.com
Jl. Kebon Kacang I No. 6 LOS 13 Jakarta
13 Yulistina Rumekti, SSi., Apt. 13071971023489 Ap. Jadi Jaya
Pusat
08176400771 julistina@yahoo.co.id

14 Gozari Effendy 01111949001364 Ap. Guardian Apartemen Aston Jakarta Selatan 0821-2660-7677

15 Nur indah Pratiwi, S.Farm., Apt 01021990036610 Ap. Kay pharmacy Metro Sunter raya 081295477474 nurindahpratiwi21@yahoo.com

Jl.Boulevard Timur Graha SKG Blok


16 Ratih Kusuma Wardhani 23011981054512 Ap. Inasa NE1/38,Kelapa Gading,Jakarta Utara 081310662654 ratihwardhani375@yahoo.com

Pluit Village Lt. Dasar Unit G-63, Jl Pluit


17 Lilik Kartini S.Farm.,Apt 12041996068861 Ap. Century Pluit Village Indah Raya 082225014345 Lilikkartini7@gmail.com
Kel. Pluit, Kec, Penjaringan, Jakarta Utara

Pluit Village Lt dasar unit G 63 Pluit indah


18 Elly Helwani 09071954036957 Ap. Century Pluit Village raya 021-6683960 ellyjuli20@gmail.com

Jl Kramat jaya blok A/7 no.22 Koja Tugu


19 Surya Oktaferry 25011984001451 Ap. K-24 Kramat jaya Utara Jakarta Utara 08129719979 home_surya@yahoo.co.id

20 Herlena Susanto 08021971001340 Ap. Tiara Muara Karang Raya no. 19 081293717115 herlenasusanto@yahoo.co.id

21 Dra. Mariana Raini Apt., MKes. 2207195736663 Ap. Terogong Jl. Terogong Raya No.18 Cilandak 021 7657487 mariana_raini@yahoo.com

22 Dra. Nurhamidah 04011957001354 Ap. Sisma Medika Pharma Jl. Sunter Kemayoran no 4 6517057 midah1655@gmail.com

Jl. Kintamani Raya No.2, Kawasan Daan


23 Yulinda,S.Farm.,Apt. 14071991026725 RS Hermina Daan Mogot Mogot Baru, Kalideres, Jakarta Barat 11840 081319905818 yulinda14linda@gmail.com

Jl. Kintamani Raya No.2, Kawasan Daan


24 Siti hadijah 19031987026753 RS Hermina Daan Mogot Mogot Baru, Kalideres, Jakarta Barat 11840 081212226301 szhadijah@gmail.com
Jl. Kintamani Raya No.2, Kawasan Daan
25 Istie Dwi Kiswindari, S.Farm., Apt. 20111994054770 RS Hermina Daan Mogot
Mogot Baru, Kalideres, Jakarta Barat 11840
085714172254 istiedkiswindari@yahoo.com

Jl. Kintamani Raya No.2, Kawasan Daan


26 Herlina Pertiwi, S.Far., Apt. 09041993054430 RS Hermina Daan Mogot Mogot Baru, Kalideres, Jakarta Barat 11840 087880072647 herlinapertiwi@gmail.com

Jl. Kintamani Raya No.2, Kawasan Daan


27 Indria wardhani 30091982002507 RS Hermina Daan Mogot Mogot Baru, Kalideres, Jakarta Barat 11840 085218944483 Indywardhani@gmail.com

Jl. Kintamani Raya No.2, Kawasan Daan


28 MIA ASTARI S.FARM.,APT. 06121990025850 RS Hermina Daan Mogot Mogot Baru, Kalideres, Jakarta Barat 11840 087885835772 miaastari.apt@gmail.com

Jl. Kintamani Raya No.2, Kawasan Daan


29 TRI WAHYUNINGSIH S.FARM.APT 14061986002480 RS Hermina Daan Mogot Mogot Baru, Kalideres, Jakarta Barat 11840 0857294686337 tri14.wahyuningsih@gmail.com

Jl. Boulevard Raya Blok FW1 No. 24-25 KG,


30 Sehat Ginting 03111955002754 Ap. Dunia Sehat Jakut 0878-8378-1753 sehat_ginting@yahoo.com

31 Desi Handayani, S.Farm.,Apt 04121988048954 Ap. Sungai Bambu Jl.sungai bambu raya tanjung priuk 081932541714 Desiandi98@gmail.com

Jl. kayu besar dalam no. 3A RT 007 RW 011


32 Desi yanti, S.Farm.,Apt. 28121991054209 Ap. H. Muslim kel. cengkareng timur kec. cengkareng 089623559015 desiyanti2812@gmail.com
jakarta barat

33 Dra. Sri Harinah 25041953061019 RS. Gading Pluit Jl. Boulevard Timur-Kelapa Gading +6282122808092 harinah.sri@gmail.com

Jl. Pulo indah raya no. 1, Cengkareng,


34 Atika Shabrina, S. Farm., Apt. 09011994054741 Ap. Yasa Husada Jakarta Barat 087887341924 shabatika@yahoo.com

35 Muarifah Srilaniyah.S.Si., Apt 19031980002679 RS budi kemuliaan Jl budi kemuliaan no 25 Jakarta 85216740499 ari.srilania@gmail.com

36 Dwi Susanti, S.Farm.,Apt 02061987036614 RS budi kemuliaan Jl budi kemuliaan no 25 Jakarta 08568826138 gazyadwi@gmail.com
Jl. Daan Mogot km.14, sumur bor,
37 Debby Anggraita 12091994054643 Klinik Nayaka Husada 07
Cengkareng, Jakarta Barat
081294348493 dhebbya@yahoo.co.id

38 Michael Matuali, S.Farm, Apt. 20121988001530 Ap. Lido jln anggrek no 37 0214353487 next_mekol@yahoo.com

39 Dra. Kasmida,Apt.MKM 12011961011237 Ap. Surya Abadi Jalan Margasatwa no 61 08128116811 idakasmida@gmail.com

ruko Puri botanical i10 no 33 joglo raya


40 Ibnu Munzir ,S.Farm.,Apt 13091989036585 Ap. Satrio Puri botanical 08176729640 ibnumunzir30@yahoo.co.id

41 Fuji Maikel Pardamean S.Farm., Apt 26091988036586 RSUD Tanjung Priok Jl. Bugis No. 3 085813260283 maikelsinaga2@gmail.com

Jalan Meruya Ilir No.32, Srengseng


42 IRMAWATI M. HABEAHAN 04061989031984 Siloam Clinic Meruya Kembangan, Jakarta Barat 085220206648 irmawatihabeahan@gmail.com

43 Rujianingsih,S.Si.,apt 17061981000904 Puskesmas koja Jl mahoni tugu utata 081310485398 ningnung.rn.rn@gmail.com

44 DEWI ARSIAH 13121983002669 Puskesmas Tugu Selatan Jl. Bendungan Melayu RT 01/RW 05 081318808970 dewiarsiah13@gmail.com

45 Laili Zahiroh, S.Farm., Apt. 23091991026784 Ap. K-24 Gunung Sahari Jl. Gunung Sahari Raya Blok A2 No. 13 081210050138 lailizahiroh@yahoo.com

Jl. Raya Pd. Gede ruko molek no. 2B, RT. 5/


46 DINI SESHA MULANI 20031995054758 Klinik Nayaka Era Husada 01 RW.12 . Lubang buaya cipayung. Jakarta 085693208875 diniseshamulani@gmail.com
Timur

47 Fitri nugrahheny 29031994069440 Radjak hospital Jl salemba tengah 081296269191 fitrinugrahheny29@gmail.com

Ap. RS. Annisa Cibodas jl. gatot subroto km. 3 no.96 cibodas
48 siti jamillah 21101991043255 Tangerang tangerang 08999555187 jamilah2421@gmail.com
Puskesmas Kelurahan Kalibata Jl. Samali Ujung No 20F RT 008 RW 009
49 Fitria Chairunnisa, S.Farm., Apt. 05081993069445
II
082298827391 chairunnisafitria@yahoo.com

50 Anindita dwi aryanti, S.Farm., Apt 19051995054737 RS. Budi Kemuliaan Jalan Budi Kemuliaan No.25 08568154080 aninditadwiaryanti@gmail.com

WTC 1 Jl. Jend. Sudirman Kav. 29, Jakarta


Selatan, WTC 5, 8th Floor, Karet,
51 Soejati Liana Tjandra 16101956011229 Ap. Dewi sakti RT.8/RW.3, Kuningan, Karet, Kota Jakarta 081510078322 S.lianatjandra@gmail.com
Selatan,

Ruko Crystal 2 no 29, Gading Serpong,


52 Dra. Linna, Apt 05011971061300 Ap. Crystal Farma Tangerang 08121010369 linna_senta@yahoo.com

Puskesmas kecamatan
53 Rachmat Riyadi 06061978069374 jagakarsa Jl sirsak no 1 jagakarsa jaksel 7864707 rachmatriyadi01@gmail.com

Jln.Jatibaru 2A, Jakpus


54 Drs.Suparli Bachsyuri,Apt 13041951001218 Roxy,jba 0213844991 suparlibachsyuri@gmail.com

Jalan Kebun Jeruk Raya no. 9 Ruko Permata


55 drs. Gunawan Kertasasmita. Apt 23041952003966 Mediswan Kebon Jeruk blok A no. 4, Jakarta Barat. 021-5307659 gkertasasmita@gmail.com

Klinik Hemodialisa Penta Jl. Marsekal surya dharma no. 68, kel.
56 Sari Nuriyati, S. Farm., Apt 07101991049714
Bandara Pajang, kec. Neglasari, Kota Tangerang
085941203567 sarinuriyati@yahoo.co.id

57 Rita Juwita, SSi, Apt 10121970006073 Ap. Melati Villa Melati Mas Blok SR I/34, Serpong 0817555105 ritajuwitakuku@gmail.com

58 Oktaviani Lingga S.Farm., Apt 01101991049061 Ap. Surya Makmur Jl Puri Kembangan Raya 082268888566 Ottalingga91@gmail.com

59 SAFIRUDIN .D S.Farm.,Apt 20091991043412 Ap. Guardian PIK avenue Jl. Pantai indah barat no.1 Mall pik lt.2 081243340308 Wanwhoe20@gmail.com

Ap. Guardian Emporium Pluit


60 Feri Fadli 16021992028264 Mall Emporium Pluit Mall, Lantai LG 085394335962 fadliferi099@gmail.com
Jl.bintara raya kelurahan : bintara
61 Riena Limiarti, S.Farm., Apt 23041955001141 Ap. Hadi Farma
kecamatan : bekasi barat no:26
0218844654 Rienalimiarti@gmail.com

Jl. Terusan Bandengan Utara (Soka 2),


62 Fransiska Sitompul 09061983023159 Ap. Sehat Rezeki Makmur Pejagalan, Penjaringan, Jakarta Utara. 081381879453 fransiska.sitompul83@gmail.com

Jl.Ganggeng Raya no.2a Sungai Bambu


63 Sri wahyuni 29051984002068 Aspa farma Tanjung Priok 085930340634 wahyuque84@gmail.com

Jl.Dr.Muwardi I no 17, Grogol Petamburan.


64 Gita Puspitaningsih. S.Farm.,Apt 07071984036760 Ap. Trisakti Jakbar 081310089916 gitapuspitaningsih@gmail.com

65 Fitriyani S.si Apt On proses Ap. Citra abafi Villa tangerang indah blok cc6 08128517408 Fitriyani.apt@gmail.com

66 Fera Kurniawati 01061991067871 Ap. Puji 2 Jl. Biak No. 45 083877530188 Fera_kur@yahoo.com

67 Andi Devawati andidevawati@gmail.com

68 Jeany Pangestuti 15921979016938 Ap. Amanda Jl. Letda Nasir No. 21 Bojongkulur-Bogor jeanyvan11@gmail.com

69 Wilany Winata 08081954043363 Ap. Super Saver Jl. Mangga Besar Raya 83D 08159259601 wilanywin54@yahoo.com

70 Christina Indrawati 27071966049324 Klinik Eva Mulia Jakarta Selatan

71 Maryumi 080661964002873 Klinik Eva Mulia Grogol

Jl. Panglima Polim IX No. 16 Rt.001/09,


72 Karlina Wau 12081989069600 Ap. Pharma Plus Melawai, Jakarta Selatan 082312975987 karlinawau@gmail.com
Jl. Tawes 18-29, Tanjung Priok - Jakarta
73 Pudjiasih Tjahjawati 29067951002647 IFRS Sukmul Sisma Medika
Utara
021-4301269 pudjiasih3619@gmail.com

74 Tri Edy Astuniek 29031958028318 Ap. Tomang Tok, Jakarta Barat Jl. Tomang Tinggi Raya No.3, Jakarta Barat 021-5671488 triedyastunik@gmailcom

75 Edinur

76 Angelika Bong Ap. Cahaya Sehat

77 Egnes Sirait 03051991043095 RS. Mitra Kelapa Gading Kp. Utan Bahagia Rt/Rw. 008/007 082185631302 egnessirait216@gmail.com

Jl. Imam Mahmud No. 31 Duri Pulo,


78 Olivia Raquel Barbara 30061993054204 JEC Tambora Gambir - Jakarta Pusat 021-29221000 oliviaracheel@gmail.com

Jl. H.O.S Cokroaminoto 31-33, Menteng,


79 Lina Priskilastuti 05011994054083 IFRS Abdi Waluyo Jakarta Pusat 021-3144989 Lpriskilastuti@gmail.com

80 Patra Manurung S.Farm,. Apt 30051992036584 Ap. Surya Makmur Jl. Puri Kembangan Raya 081294451831 Patra.pm19@gmail.com

81 Paulina I Tedjakusuma 27071956002633 Apotek Aneka 0812-9018-528

Klinik Pratama Mahkamah Jl. Medan Merdeka Barat No. 6, Jakarta


82 Puspa Wijayanti 31031986007007 Konstitusi RI Pusat 10110 082123043237 wijayantipuspa@gmail.com

83 Ita Oktaria RSUD Kemayoran

84 Rahmawati 17011983003066 Ap. Arfipema Jl. Senen raya No. 40, Senen, Jakarta Pusat 081319154608 Arfipema@gmail.com
Status Pembayaran

4/1/2019

4/1/2019

4/1/2019

4/1/2019

4/2/2019

4/2/2019

4/2/2019

4/2/2019

4/2/2019

4/3/2019

4/4/2019

4/4/2019
4/4/2019

4/5/2019

4/5/2019

4/5/2019

4/6/2019

4/6/2019

4/6/2019

4/10/2019

4/6/2019

4/12/2019

4/16/2019

4/16/2019
4/16/2019

4/16/2019

4/16/2019

4/16/2019

4/16/2019

4/16/2019

4/16/2019

4/17/2019

4/17/2019

4/17/2019

4/17/2019

4/18/2019
4/18/2019

4/18/2019

4/18/2019

4/19/2019

4/19/2019

4/20/2019

4/20/2019

4/20/2019

4/21/2019

4/21/2019

4/21/2019

4/22/2019
4/21/2019

4/21/2019

4/22/2019

4/22/2019

4/22/2019

4/21/2019

4/22/2019

4/22/2019

4/22/2019

4/24/2019

4/24/2019

4/24/2019
4/24/2019

4/25/2019

4/25/2019

4/25/2019

4/25/2019

4/24/2019

4/25/2019

4/26/2019

4/26/2019

4/27/2019

4/27/2019

4/27/2019
4/23/2019

4/23/2019

4/19/2019

4/28/2019

4/29/2019

4/29/2019

4/29/2019

4/29/2019

4/19/2019

4/30/2019
Tandatangan
No. Name Lengkap No KTA Nama Apotek Alamat Apotek No telp Email
Kehadiran Sertifikat

1 Aminah 01051968001331 Ap. Sunda Kelapa Jl.Kakap no 33 08129225715 Apoteker.aminah@gmail.com

2 Andi Devawati andidevawati@gmail.com

3 Angelika Bong Ap. Cahaya Sehat

4 Anindita dwi aryanti 19051995054737 RS. Budi Kemuliaan Jalan Budi Kemuliaan No.25 08568154080 aninditadwiaryanti@gmail.com

5 Annisa 26101989049341 Ap. Sunter Indah 0838-7222-3940 ngiknguk_cn@yahoo.co.id

Jl. Pulo indah raya no. 1, Cengkareng,


6 Atika Shabrina 09011994054741 Ap. Yasa Husada
Jakarta Barat
087887341924 shabatika@yahoo.com

Mall Kelapa Gading 3 unit #G-43 Lt. Dasar,


7 Caecilia Sunarti Djajadi 25101953001258 Ap. Erha 21 Kel. Kelapa gading timur, kec. Kelapa 08118506040 caecilia.sunarti@yahoo.com
gading, Jakarta Utara

8 Christina Indrawati 27071966049324 Klinik Eva Mulia Jakarta Selatan

Jl. Daan Mogot km.14, sumur bor,


9 Debby Anggraita 12091994054643 Klinik Nayaka Husada 07 Cengkareng, Jakarta Barat 081294348493 dhebbya@yahoo.co.id

10 Desi Handayani 04121988048954 Ap. Sungai Bambu Jl.sungai bambu raya tanjung priuk 081932541714 Desiandi98@gmail.com

Jl. kayu besar dalam no. 3A RT 007 RW 011


11 Desi yanti 28121991054209 Ap. H. Muslim kel. cengkareng timur kec. cengkareng 089623559015 desiyanti2812@gmail.com
jakarta barat

12 DEWI ARSIAH 13121983002669 Puskesmas Tugu Selatan Jl. Bendungan Melayu RT 01/RW 05 081318808970 dewiarsiah13@gmail.com
13 Dewi citra 18111990043708 Ap. Panda Jl. Paradise barat II blok C no. 40, sunter 0216404354 citrasikumbang@gmail.com

Jl. Raya Pd. Gede ruko molek no. 2B, RT. 5/


14 DINI SESHA MULANI 20031995054758 Klinik Nayaka Era Husada 01 RW.12 . Lubang buaya cipayung. Jakarta 085693208875 diniseshamulani@gmail.com
Timur

22 Dwi Susanti 02061987036614 RS budi kemuliaan Jl budi kemuliaan no 25 Jakarta 08568826138 gazyadwi@gmail.com

23 Edinur

24 Egnes Sirait 03051991043095 RS. Mitra Kelapa Gading Kp. Utan Bahagia Rt/Rw. 008/007 082185631302 egnessirait216@gmail.com

Jln. Sungai Landak no 6 Kel. Cilincing Kec.


25 Elisastra Kurniawan 25041991043057 Ap. Murah Farma Cilincing Kota Jakarta Utara, DKI Jakarta 082310702006 sastrakurniawan04@gmail.com

Pluit Village Lt dasar unit G 63 Pluit indah


26 Elly Helwani 09071954036957 Ap. Century Pluit Village raya 021-6683960 ellyjuli20@gmail.com

27 Fera Kurniawati 01061991067871 Ap. Puji 2 Jl. Biak No. 45 083877530188 Fera_kur@yahoo.com

Ap. Guardian Emporium Pluit


28 Feri Fadli 16021992028264
Mall
Emporium Pluit Mall, Lantai LG 085394335962 fadliferi099@gmail.com

29 Fitri nugrahheny 29031994069440 Radjak hospital Jl salemba tengah 081296269191 fitrinugrahheny29@gmail.com

Puskesmas Kelurahan Kalibata Jl. Samali Ujung No 20F RT 008 RW 009


30 Fitria Chairunnisa 05081993069445 II 082298827391 chairunnisafitria@yahoo.com

31 Fitriyani On proses Ap. Citra abafi Villa tangerang indah blok cc6 08128517408 Fitriyani.apt@gmail.com
Jl. Terusan Bandengan Utara (Soka 2),
32 Fransiska Sitompul 09061983023159 Ap. Sehat Rezeki Makmur
Pejagalan, Penjaringan, Jakarta Utara.
081381879453 fransiska.sitompul83@gmail.com

33 Fuji Maikel Pardamean 26091988036586 RSUD Tanjung Priok Jl. Bugis No. 3 085813260283 maikelsinaga2@gmail.com

Jl.Dr.Muwardi I no 17, Grogol Petamburan.


34 Gita Puspitaningsih 07071984036760 Ap. Trisakti Jakbar 081310089916 gitapuspitaningsih@gmail.com

35 Gozari Effendy 01111949001364 Ap. Guardian Apartemen Aston Jakarta Selatan 0821-2660-7677

Jalan Kebun Jeruk Raya no. 9 Ruko Permata


20 Gunawan Kertasasmita 23041952003966 Mediswan Kebon Jeruk blok A no. 4, Jakarta Barat. 021-5307659 gkertasasmita@gmail.com

36 Hanning Sri Wulandari 09021994046390 Ap. KF Sunter 0822-2523-9869

37 Herlena Susanto 08021971001340 Ap. Tiara Muara Karang Raya no. 19 081293717115 herlenasusanto@yahoo.co.id

Jl. Kintamani Raya No.2, Kawasan Daan


38 Herlina Pertiwi 09041993054430 RS Hermina Daan Mogot
Mogot Baru, Kalideres, Jakarta Barat 11840
087880072647 herlinapertiwi@gmail.com

39 Herlina Sibuea 13111955003044 Ap. Bundaran Slipi Jakarta Pusat herlinasibuea@gmail.com

ruko Puri botanical i10 no 33 joglo raya


40 Ibnu Munzir 13091989036585 Ap. Satrio Puri botanical 08176729640 ibnumunzir30@yahoo.co.id

Jl. Kintamani Raya No.2, Kawasan Daan


41 Indria wardhani 30091982002507 RS Hermina Daan Mogot Mogot Baru, Kalideres, Jakarta Barat 11840 085218944483 Indywardhani@gmail.com

Jalan Meruya Ilir No.32, Srengseng


42 IRMAWATI M. HABEAHAN 04061989031984 Siloam Clinic Meruya Kembangan, Jakarta Barat 085220206648 irmawatihabeahan@gmail.com
Jl. Kintamani Raya No.2, Kawasan Daan
43 Istie Dwi Kiswindari 20111994054770 RS Hermina Daan Mogot
Mogot Baru, Kalideres, Jakarta Barat 11840
085714172254 istiedkiswindari@yahoo.com

44 Ita Oktaria RSUD Kemayoran

45 Jeany Pangestuti 15921979016938 Ap. Amanda Jl. Letda Nasir No. 21 Bojongkulur-Bogor jeanyvan11@gmail.com

Jl. Panglima Polim IX No. 16 Rt.001/09,


46 Karlina Wau 12081989069600 Ap. Pharma Plus Melawai, Jakarta Selatan 082312975987 karlinawau@gmail.com

15 Kasmida 12011961011237 Ap. Surya Abadi Jalan Margasatwa no 61 08128116811 idakasmida@gmail.com

47 Laili Zahiroh 23091991026784 Ap. K-24 Gunung Sahari Jl. Gunung Sahari Raya Blok A2 No. 13 081210050138 lailizahiroh@yahoo.com

48 Liana Sari 19021986003190 Ap. Erha 21 Emporium 0818-154-071 liana.ylie@gmail.com

Pluit Village Lt. Dasar Unit G-63, Jl Pluit


49 Lilik Kartini 12041996068861 Ap. Century Pluit Village Indah Raya 082225014345 Lilikkartini7@gmail.com
Kel. Pluit, Kec, Penjaringan, Jakarta Utara

Jl. H.O.S Cokroaminoto 31-33, Menteng,


50 Lina Priskilastuti 05011994054083 IFRS Abdi Waluyo
Jakarta Pusat
021-3144989 Lpriskilastuti@gmail.com

Jl.Pluit Kencana Raya No .25 Pluit Jakarta


51 Linceria Tampubolon 08121954054314 Ap. Kencana Raya Utara 08129485546 ceriatampubolon8@gmail.com

Ruko Crystal 2 no 29, Gading Serpong,


16 Linna 05011971061300 Ap. Crystal Farma Tangerang 08121010369 linna_senta@yahoo.com

52 Maria ImmaCulata 30101988027856 RS. Atma Jaya Jln. Pluit Raya 082114195671 immaclementez2330@gmail.com
17 Mariana Raini 2207195736663 Ap. Terogong Jl. Terogong Raya No.18 Cilandak 021 7657487 mariana_raini@yahoo.com

53 Maryumi 080661964002873 Klinik Eva Mulia Grogol

021-45842031 /
54 Mey Tyen 10101982060920 Ap. Alvin Farma Boulevard Raya LB 1 / 20 021-24521680 Lauwrent@yahoo.com

Jl. Kintamani Raya No.2, Kawasan Daan


55 MIA ASTARI 06121990025850 RS Hermina Daan Mogot Mogot Baru, Kalideres, Jakarta Barat 11840 087885835772 miaastari.apt@gmail.com

56 Michael Matuali 20121988001530 Ap. Lido jln anggrek no 37 0214353487 next_mekol@yahoo.com

57 Muarifah Srilaniyah 19031980002679 RS budi kemuliaan Jl budi kemuliaan no 25 Jakarta 85216740499 ari.srilania@gmail.com

18 Nurhamidah 04011957001354 Ap. Sisma Medika Pharma Jl. Sunter Kemayoran no 4 6517057 midah1655@gmail.com

58 Nur indah Pratiwi 01021990036610 Ap. Kay pharmacy Metro Sunter raya 081295477474 nurindahpratiwi21@yahoo.com

59 Oktaviani Lingga 01101991049061 Ap. Surya Makmur Jl Puri Kembangan Raya 082268888566 Ottalingga91@gmail.com

Jl. Imam Mahmud No. 31 Duri Pulo,


60 Olivia Raquel Barbara 30061993054204 JEC Tambora Gambir - Jakarta Pusat 021-29221000 oliviaracheel@gmail.com

61 Patra Manurung 30051992036584 Ap. Surya Makmur Jl. Puri Kembangan Raya 081294451831 Patra.pm19@gmail.com

62 Paulina I Tedjakusuma 27071956002633 Apotek Aneka 0812-9018-528


Jl. Tawes 18-29, Tanjung Priok - Jakarta
63 Pudjiasih Tjahjawati 29067951002647 IFRS Sukmul Sisma Medika
Utara
021-4301269 pudjiasih3619@gmail.com

Klinik Pratama Mahkamah Jl. Medan Merdeka Barat No. 6, Jakarta


64 Puspa Wijayanti 31031986007007 Konstitusi RI Pusat 10110 082123043237 wijayantipuspa@gmail.com

Puskesmas kecamatan
65 Rachmat Riyadi 06061978069374 jagakarsa Jl sirsak no 1 jagakarsa jaksel 7864707 rachmatriyadi01@gmail.com

66 Rahmawati 17011983003066 Ap. Arfipema Jl. Senen raya No. 40, Senen, Jakarta Pusat 081319154608 Arfipema@gmail.com

Jl.Boulevard Timur Graha SKG Blok


67 Ratih Kusuma Wardhani 23011981054512 Ap. Inasa NE1/38,Kelapa Gading,Jakarta Utara 081310662654 ratihwardhani375@yahoo.com

Jl.bintara raya kelurahan : bintara


68 Riena Limiarti 23041955001141 Ap. Hadi Farma kecamatan : bekasi barat no:26 0218844654 Rienalimiarti@gmail.com

69 Rita Juwita 10121970006073 Ap. Melati Villa Melati Mas Blok SR I/34, Serpong 0817555105 ritajuwitakuku@gmail.com

70 Rujianingsih 17061981000904 Puskesmas koja Jl mahoni tugu utata 081310485398 ningnung.rn.rn@gmail.com

71 SAFIRUDIN .D 20091991043412 Ap. Guardian PIK avenue Jl. Pantai indah barat no.1 Mall pik lt.2 081243340308 Wanwhoe20@gmail.com

Klinik Hemodialisa Penta Jl. Marsekal surya dharma no. 68, kel.
72 Sari Nuriyati 07101991049714 Bandara Pajang, kec. Neglasari, Kota Tangerang 085941203567 sarinuriyati@yahoo.co.id

Jl. Boulevard Raya Blok FW1 No. 24-25 KG,


73 Sehat Ginting 03111955002754 Ap. Dunia Sehat Jakut 0878-8378-1753 sehat_ginting@yahoo.com

Jl. Kintamani Raya No.2, Kawasan Daan


74 Siti hadijah 19031987026753 RS Hermina Daan Mogot Mogot Baru, Kalideres, Jakarta Barat 11840 081212226301 szhadijah@gmail.com
Ap. RS. Annisa Cibodas jl. gatot subroto km. 3 no.96 cibodas
75 siti jamillah 21101991043255
Tangerang tangerang
08999555187 jamilah2421@gmail.com

WTC 1 Jl. Jend. Sudirman Kav. 29, Jakarta


Selatan, WTC 5, 8th Floor, Karet,
76 Soejati Liana Tjandra 16101956011229 Ap. Dewi sakti RT.8/RW.3, Kuningan, Karet, Kota Jakarta 081510078322 S.lianatjandra@gmail.com
Selatan,

19 Sri Harinah 25041953061019 RS. Gading Pluit Jl. Boulevard Timur-Kelapa Gading +6282122808092 harinah.sri@gmail.com

Jl.Ganggeng Raya no.2a Sungai Bambu


77 Sri wahyuni 29051984002068 Aspa farma Tanjung Priok 085930340634 wahyuque84@gmail.com

Jln.Jatibaru 2A, Jakpus


21 Suparli Bachsyuri 13041951001218 Roxy,jba 0213844991 suparlibachsyuri@gmail.com

Jl Kramat jaya blok A/7 no.22 Koja Tugu


78 Surya Oktaferry 25011984001451 Ap. K-24 Kramat jaya Utara Jakarta Utara 08129719979 home_surya@yahoo.co.id

81 Triana Sulistiorini 22041972026589 Ap. Tri Arga Jl.Kebon Kacang I No.6 089520353495 trianasulistiorini@gmail.com

79 Tri Edy Astuniek 29031958028318 Ap. Tomang Tok, Jakarta Barat Jl. Tomang Tinggi Raya No.3, Jakarta Barat 021-5671488 triedyastunik@gmailcom

Jl. Kintamani Raya No.2, Kawasan Daan


80 TRI WAHYUNINGSIH 14061986002480 RS Hermina Daan Mogot
Mogot Baru, Kalideres, Jakarta Barat 11840
0857294686337 tri14.wahyuningsih@gmail.com

82 Wilany Winata 08081954043363 Ap. Super Saver Jl. Mangga Besar Raya 83D 08159259601 wilanywin54@yahoo.com

Jl. Kintamani Raya No.2, Kawasan Daan


83 Yulinda 14071991026725 RS Hermina Daan Mogot Mogot Baru, Kalideres, Jakarta Barat 11840 081319905818 yulinda14linda@gmail.com

Jl. Kebon Kacang I No. 6 LOS 13 Jakarta


84 Yulistina Rumekti 13071971023489 Ap. Jadi Jaya Pusat 08176400771 julistina@yahoo.co.id
Status Pembayaran

4/2/2019

4/25/2019

4/28/2019

4/21/2019

4/2/2019

4/17/2019

4/1/2019

4/27/2019

4/18/2019

4/16/2019

4/17/2019

4/20/2019
4/4/2019

4/21/2019

4/18/2019

4/19/2019

4/29/2019

4/2/2019

4/6/2019

4/24/2019

4/24/2019

4/21/2019

4/21/2019

4/25/2019
4/25/2019

4/19/2019

4/25/2019

4/5/2019

4/22/2019

4/1/2019

4/10/2019

4/16/2019

4/3/2019

4/19/2019

4/16/2019

4/20/2019
4/16/2019

4/26/2019

4/27/2019

4/18/2019

4/21/2019

4/1/2019

4/6/2019

4/29/2019

4/2/2019

4/22/2019

4/1/2019
4/6/2019

4/27/2019

4/2/2019

4/16/2019

4/18/2019

4/17/2019

4/12/2019

4/5/2019

4/24/2019

4/29/2019

4/29/2019

4/19/2019
4/23/2019

4/30/2019

4/22/2019

4/5/2019

4/24/2019

4/22/2019

4/20/2019

4/24/2019

4/22/2019

4/16/2019

4/16/2019
4/22/2019

4/22/2019

4/17/2019

4/25/2019

4/21/2019

4/6/2019

4/4/2019

4/23/2019

4/16/2019

4/26/2019

4/16/2019

4/4/2019
No. Name Lengkap No KTA Nama Apotek

1 Rahmawati 17011983003066 Ap. Arfipema


Tandatangan
Alamat Apotek No telp Email
Kehadiran
Jl. Senen raya No. 40, Senen, Jakarta Pusat 081319154608 Arfipema@gmail.com
Tandatangan
Status Pembayaran
Sertifikat
12/30/1899

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