Sekretariat :

Ruko Kaujon Mansion, Jl. Kelunjukan No. 11, RT. 002/014, Kel. Serang, Kec. Serang, Kota Serang
No. Hp : 085797077781, 081310565529, 089615849533, email : banten@iai.id

No : Kep-052/SKP/PD IAI/BANTEN/VII/2023
Perihal : Satuan Kredit Partisipasi (SKP)

Kepada Yth.
Kepala Balai Besar POM di Serang
cc. Ketua Pengurus Cabang IAI se-Banten
di
Tempat

Dengan Hormat,
Salam sejahtera kami ucapkan, semoga senantiasa berada dalam lindungan
Allah SWT, serta sukses selalu dalam menjalankan aktivitas sehari-hari. Aamiin
Sehubungan dengan Pencanangan Aksi Terpadu Pengendalian Resistensi
Antibiotik di Provinsi Banten yang telah dilaksanakan pada tanggal 13 Juni 2023,
melalui public campaign berupa pemasangan spanduk BATIK WARISAN pada
sarana kefarmasian dimana sejawat tersebut sebagai Apoteker Pengelola Apotek/
Apoteker Penanggung Jawab Sarana.
Bersama ini kami sampaikan nilai SKP Pengabdian untuk kegiatan tersebut
sebagai berikut :
2 SKP Pengabdian Masyarakat

Nomor SK : Kep-052/SKP/PD IAI/BANTEN/VII/2023

Demikian kami sampaikan atas perhatian dan kerjasamanya, kami ucapkan

terima kasih.

Serang, 10 Juli 2023

PENGURUS DAERAH BANTEN
IKATAN APOTEKER INDONESIA
Ketua Sekretaris

apt. Ahmad Sofan, M.Farm apt. Yulistika Amalia, S.Far

Na: 02101981000855 Na : 05071986013278

Tembusan:
- Arsip
 Sekretariat :
Ruko Kaujon Mansion, Jl. Kelunjukan No. 11, RT. 002/014, Kel. Serang, Kec. Serang, Kota Serang
No. Hp : 085797077781, 081310565529, 089615849533, email : banten@iai.id

Lampiran SKP Kep-052/SKP/PD IAI/BANTEN/VII/2023

APOTEKER PENERIMA SKP PENGABDIAN

kegiatan Public Campaign Pemasangan Spanduk Batik Warisan
(Bijak Gunakan Antibiotik Waspada Resistensi dan Silent Pandemic)
Kota Tangerang

No. NAMA LENGKAP No. ANGGOTA IAI NAMA SARANA PRAKTIK

PT. Anugrah Argon Medica cabang
1 apt. Abul A'la Maududi, S.Farm. 14011996073532
Tangerang
2 apt. Achmat Choirudin, S.Si. 24031982028478 PT. Permata Bunda Artano
3 apt. Adhe Putri Damanik, S. Farm. 08031990052275 PT. Mensa Binasukse cabang Tangerang
4 apt. Afiah Robithoh, S.Farm. 16031995065092 RS. Sari Asih Ciledug
5 apt. Ageng Hasna Fauziyah., M.Farm. 01101993065412 PBF Kebayoran Pharma Tangerang
6 apt. Ahmad Tirmizi, S. Farm. 14081991087163 PT. Triwira Attara Adhirajasa
7 apt. Ai Nuraeni., S.Far. 15061987036888 RSU. Bhakti Asih
8 apt. Almukramin, S.Farm. 07011991074689 RS. An-Nisa Tangerang
9 apt. Andy Arifianto, S.Si. 04041976061250 Apotek Cinta Sehat
Instalasi Farmasi RSUD Kabupaten
10 apt. Anggita Balqis Febrianti, S.Farm. 12021998087041
Tangerang
11 apt. Annisa Hatijah Dahlan, S.Farm. 30101995090475 Puskesmas Paninggilan
PBF PT. Enseval Putera Megatrading, Tbk.
12 apt. Apriani Dwi Susilowati, S.Farm. 15041992052619
cabang Tangerang
13 apt. Aprina Handayani Suyono, S.Farm. 03041986028498 Apotek Banjar Baru
14 apt. Arsyani Parrung, S.Farm. 05012000101844 PBF PT. Vadel Ksatria Samudra Indonesia
15 apt. Artina Pelawi, S.Si. 29091970070996 Apotek Berkat Ciledug
16 apt. Ary Dwi Lestari, M.Farm. 27081974026206 RSUD. Kabupaten Tangerang
17 apt. Ary Setiarsih, S.Farm. 31081991069620 Apotek Wien
18 apt. Aryanti, S.Si. 05061984048543 Apotek Berkah Medica
19 apt. Astriana Fitriani, S.Farm. 10041992053991 Apotek Gentong Mas
20 apt. Ayu Nurfadylla, S.Farm. 08061996096378 RS. Sari Asih Sangiang
21 apt. Ayup Milladi, S.Farm. 20121983043808 RSUD. Kabupaten Tangerang
22 apt. Aztia Riandini, S Farm. 19061992040087 Puskesmas Gembor
23 apt. Bambang Kurniawan, S.Si. 10081982053907 PBF PT. Bataco
24 apt. Budi Prasetyo, S.Farm. 15031981096329 Apotek EL Pharma
25 apt. Caecilia Desi Kristanti, S.Farm. 14121995063964 RSUD. Kabupaten Tangerang
26 apt. Citra Andhini, S.Farm. 15071982028481 Puskesmas Jurumudi Baru
27 apt. Deri Ani, S.Farm. 02061997094731 RS. Sari Asih Ciredug
28 apt. Desy Putri Setiani, S.Farm. 16051994062338 Apotek Idola
 Sekretariat :
Ruko Kaujon Mansion, Jl. Kelunjukan No. 11, RT. 002/014, Kel. Serang, Kec. Serang, Kota Serang
No. Hp : 085797077781, 081310565529, 089615849533, email : banten@iai.id

29 apt. Devita, S.Farm. 24091998093591 PT. Kallista Prima

30 apt. Dewi Indrawati, S.Farm. 02031993055885 Apotek Tirta
31 apt. Dewi Widyaswati, S.Farm. 25101985053977 RS. Sari Asih Ciledug
32 apt. Dhita Analepta Purba, S.Farm. 21041991032620 RSUD. Kabupaten Tangerang
33 apt. Dian Hidayatul Khasanah, S.Farm. 29101981017789 UPT Puskesmas Paninggilan
34 apt. Diana Arnandea, S.Farm. 14011998087335 PBF PT. Tri Sapta Jaya cabang Tangerang
35 apt. Diyan Melasari, S.Farm. 30011981026222 Puskesmas Cibodasari
36 apt. Dra. Linna 05011971061300 Apotik Murni-2
37 apt. Drs. Fajar Atmajaya 28121969026340 Apotek Cavita Farma
38 apt. Drs. Ketut Ritiasa 12051948028309 PT. Dutry Saputra Abadi
39 apt. Dwi Agung Okta Miyanti, S.Si. 18101982049174 Apotek Akhdan Farma
40 apt. Eka Apriesti, S.Farm. 15041988026235 Apotek Rizqi Medika 2
41 apt. Elia Melani, S.Farm. 31051994090720 PT. Mensa Binasukse cabang Tangerang
42 apt. Elisabeth Soraya Uli, S.Farm. 10071996075893 RSUD. Kabupaten Tangerang
43 apt. Endah Puspita Dewi, S.Farm. 09061996081396 Klinik Attaqwa
44 apt. Erina Susanti, S.Si. 10041976079244 Apotek Sinar Sehat
45 apt. Erlan Wahyu Pratama S.Farm. 11101996076696 RSUD. Kabupaten Tangerang
46 apt. Ernita Yuli Margawati, S.Si. 09071977078729 Apotek Wira Lestari
47 apt. Etika Ayu Lestari, S.Farm. 18011998096524 RSIA. Pratiwi
48 apt. Fahima Gorotomole, S.Farm. 27061990036312 Klinik Bellagreen Skin Care
49 apt. Fardin, S.Farm. 08061993086949 RSIA. Karunia Bunda
50 apt. Fenny Kristanti P., S.Farm. 27041991054239 Apotek Dama
51 apt. Firmanti, S.Si. 28061983061251 RSU. Kabupaten Tangerang
52 apt. Fitri Amalia Ramadhan, S.Farm. 27081997093414 Apotek Berkat 2
53 apt. Fitriyani, S.Si. 21071982006167 Apotek Citra Abadi
54 apt. Fransisca Novitasari, S.Farm. 28111996094274 IDAK PT. Vadel Ksatria Samudra Indonesia
55 apt. Gama Irma Mayasari, S.Farm. 31051984028461 Apotek Cipondoh Plus
56 apt. Gina Amalia, S.Farm. 18041998096344 Apotek Roxy Mauk
apt. H. Deddy Setyagus Ariawan,
57 06021988055446 RS. An-Nisa Tangerang
S.Farm.
58 apt. Hanifah Mustikawati, S.Farm. 23021994059400 Apotek Harapan Candi Kencana
59 apt. Henny Octaviaki Rangkuti, S.Si. 20101981036659 PBF Bahan Obat PT.Kinas Global Indonusa
60 apt. Heru Cahyono, S.Si. 25081976053518 RSU. Kabupaten Tangerang
61 apt. Heru Wahyudi, S.Si. 09051987067872 PT. Global Zen Pharma Indonesia
62 apt. Hesti Hamidah, S.Farm. 14111998106002 PT. Mensa Binasukses cabang Tangerang
63 apt. Ida Ambarwati 18101964026345 RSIA. Pratiwi
apt. Indah Oki Pertiwi Hutagaol, PBF PT. Marga Nusantara Jaya cabang
64 11101992071091
S.Farm. Tangerang
 Sekretariat :
Ruko Kaujon Mansion, Jl. Kelunjukan No. 11, RT. 002/014, Kel. Serang, Kec. Serang, Kota Serang
No. Hp : 085797077781, 081310565529, 089615849533, email : banten@iai.id

65 apt. Indira Wietdaty, S.Farm. 04111972026259 RSUD. Kabupaten Tangerang

66 apt. Isma Yardha Bil Husna, S.Farm. 05101998096412 RS. Sari Asih Sangiang
67 apt. Istika Yana Murni, S.Farm. 07061995100533 RS. Sari Asih Ciledug
68 apt. Istiqomah, S.Farm. 15111988086348 RSUD. Kabupaten Tangerang
69 apt. Khena Zuraeda, S.Farm. 20051996098638 RSU. Bhakti Asih
apt. Kristal Resa Diena Rahman,
70 06111993069561 Puskesmas Gebang Raya
S.Farm.
71 apt. Kurnia Dwi Julianti, S.Farm. 12071998102392 Rumah Sakit Aqidah
72 apt. Lanny, S.Farm. 07091981060444 PT. Euthica Unggul Abadi
73 apt. Leni Afriana Pasaribu, S.Si. 09111981077934 RS. An-Nisa Tangerang
74 apt. Luluk Muzdalifatul Farida, S.Farm. 29111983028495 Apotek Mulia
75 apt. Marchalyna Eca Putri, S.Farm. 27031994087210 RS. Sari Asih Sangiang
76 apt. Mei Eko Harmanto, S.Si. 07051983003102 Apotek Gita Farma
77 apt. Meiti Agustianti, S.Farm. 27081995073359 Puskesmas Gembor
78 apt. Mentari Tampubolon, S.Farm. 30041994062285 Apotek Duta Sehat
PT. Millennium Pharmacon International Tbk.
79 apt. Mimi Aemah, S.Farm. 31031991060846
cabang Tangerang
80 apt. Morita Sirait, S.Farm. 22101992054589 Apotek Setia
81 apt. Muhammad Ilham Syah, S.Farm. 11041993078355 PT. Kinas Global Indonusa
apt. Muhammad Luthfi Muttaqien,
82 03051994068001 RSUD. kabupaten Tangerang
S.Farm.
83 apt. Muhfadi, S.Farm. 10051998102605 RSU. Bhakti Asih
84 apt. Mutiara Bella, S.Farm. 04011995072024 RS. Sari Asih Ciledug
85 apt. Nelly Maulina, S.Farm. 23101988037305 Apotek Siloam Clinic
86 apt. Neng Shella Tresnasari, S.Farm. 17091998098604 RSU. Bhakti Asih
87 apt. Neti Helda Ramadani, S.Si. 29091985061858 Apotek Mutiara farma
88 apt. Nikken Ayu Perdana, S.Farm. 16121996090636 Apotek Rizqi Medika
89 apt. Nilam Sartika, S.Farm. 05091995091684 Klinik Pratama Sahira
90 apt. Nina Pursita, S.Farm. 16121995068396 RS. An-Nisa Tangerang
91 apt. Nisa Sukma Utami, S.Farm. 26111987035013 RS. Sari Asih Sangiang
92 apt. Nofri Juwanda, S.Farm. 09111994082316 PBF PT. Virtual Medika Pratama
93 apt. Nur Shabrina, S.Farm. 23081989050909 PBF PT. Intrada Subur Abadi
94 apt. Nurlaila, S.Si. 16011981061239 Klinik Nurbayan
95 apt. Nurmiwiyati, S.Si, M.Farm. 25021979055451 Apotek Diva Sehat
96 apt. Okta Asri Naimah, S.Farm. 23101994093486 Apotek Bahtera
97 apt. Popy Rachmawati, S.Farm. 29121992043333 Apotek Rahma
98 apt. Pramita Bekti Nastiti, S.Farm. 20051991062468 Puskesmas Panunggangan
99 apt. Prasilia Randika Putri S., S.Farm. 22111995073713 RS. Sari Asih Ciledug
100 apt. Qori Amrirullah, S.Farm. 28081996103090 PT. Enseval Putera Megatrading Tbk. cabang
 Sekretariat :
Ruko Kaujon Mansion, Jl. Kelunjukan No. 11, RT. 002/014, Kel. Serang, Kec. Serang, Kota Serang
No. Hp : 085797077781, 081310565529, 089615849533, email : banten@iai.id

Tangerang

101 apt. R. Diana Wahyuni M., S.Si. 02121976028473 Apotek Vista

102 apt. Ratih Safitri, S.Farm. 03041984026293 Apotek Berkah Jaya
103 apt. Retno Nur Utami, S.Farm. 27021997084753 RS. Aqidah
104 apt. Retno Setyowati, S.Farm. 11021983071000 PBF PT. Parit Padang Global
105 apt. Ria Indriati, S.Si. 14081972079240 Apotek Total Farma
apt. Rifa Massufa Alifatuljannah,
106 S.Farm. 16051998093025 Apotek K24 Borobudur

107 apt. Rika Kartikasari, S.Si. 27091981070998 Puskesmas Jurumudi Baru

108 apt. Rikto Jaya Putra, S.Farm. 12051994091460 PT. Bintang Medika Bersama
109 apt. Rinda Apriani, S.Farm. 17101994073739 RS. Sari Asih Sangiang
110 apt. Riri Mustika Ningrum, S.Farm. 06061992064486 PT.Triwira Attara Adhirajasa
111 apt. Roma Anita Agustina M., S.Farm. 30081985015021 PT. Penta Valent
112 apt. Rosy Hatul Ummah, S.Farm. 14081998101706 RS. Sari Asih Ciledug
113 apt. Rosyana Eka Rahmawati, S.Farm. 30081996075231 RSUD. Kabupaten Tangerang
apt. Roviqoh Uswatun Hasanah,
114 13081995073653 RS. Sari Asih Sangiang
S.Farm.
115 apt. Sari Sparingga, S.Farm. 12111985035057 PT. Rajawali Nusindo Tangerang
116 apt. Shifa Fauziyah, S.Farm. 28121991028475 Apotek Kimia Farma No. 3
apt. Sidhi Poernomo Bima Adji, S.Si.,
117 03031969071002 Klinik Rohmatan Nur Al Amim
M.Pharm.
118 apt. Siti Avirda Yulianti, S.Farm. 27041996070809 Puskesmas Pasir Jaya
119 apt. Siti Dzatir Rohmah, S.Farm. 14031991036110 RSUD. Kabupaten Tangerang
120 apt. Siti Jamillah, S.Farm. 21101991043255 RS. An-Nisa Tangerang
121 apt. Siti Khunaenah, S.Si. 02061984035035 Apotek Berkat VI
122 apt. Siti Noorzaini, S.Si. 15041982061241 Apotek Miranti
123 apt. Siti Nuraisyah, S.Si. 09011984048556 Apotek Roxy Mauk
124 apt. Siti Sopiah, S.Si. 30011984075479 Puskesmas Petir
125 apt. Sophia Kartika Chandra, S.Farm. 11051981035017 Apotek Siloam Clinic
126 apt. Sumarno M.S., S.Si. 12101979001843 Apotek Bri Farma
127 apt. Supriani, S.Farm. 20041969026318 RSUD. Kabupaten Tangerang
128 apt. Suprianto, S.Si. 16101972078141 Apotek Sinar Kasih
129 apt. Syifa Arini,S.Farm. 24041988010491 Apotik Century Tangerang City
130 apt. Sylvistri Mayasari, S.Farm. 09071980061255 PBF PT. Nulab Pharmaceutical Indonesia
131 apt. Tiara Wulandari Ruspandi, S.Far. 25051990064029 PT. Antarmitra Sembada
132 apt. Tria Widyastuti Ningrum, S.Farm. 30071983028480 Puskesmas Pondok Bahar
133 apt. Ummu Syarifah, S.Farm. 07041995060982 RS. An-Nisa Tangerang
134 apt. Vera Novita, S.Farm. 28091995078711 RS. Sari Asih Tangerang
135 apt. Vika Miftahul Jannah, S.Farm. 11091994070540 RSUD. Kabupaten Tangerang
 Sekretariat :
Ruko Kaujon Mansion, Jl. Kelunjukan No. 11, RT. 002/014, Kel. Serang, Kec. Serang, Kota Serang
No. Hp : 085797077781, 081310565529, 089615849533, email : banten@iai.id

136 apt. Virza Astami, S.Farm. 05091996090585 RS. Sari Asih Ciledug
137 apt. Vitalia Chandra, S.Farm. 02011987035029 Apotek Suta
138 apt. Vivi Nandiya Rachmawati, S.Farm. 06081996101817 RS. Sari Asih Sangiang
139 apt. Wahidah, S.Farm. 14011989023284 RSU. Bhakti Asih
140 apt. Widya Christianti, S.Si., M.Farm. 12111976048525 RS. Sari asih Ciledug
141 apt. Wira Olyvia, S.Farm. 25101994061001 Apotek Citta Farma
142 apt. Wirna Ningsih, S.Farm. 15081994082492 Apotek K24 Borobudur
143 apt. Witriani, S.Farm. 12071983028508 Klinik Kristie
144 apt. Wulan Dewi S. Ajie, S.Farm. 05011986026333 Apotek Sehat Semesta
145 apt. Wulan Yuliastuti, S.Farm. 17071988021298 Puskesmas Panunggangan
146 apt. Yonisa Adika Putra, S.Farm. 28031991049063 Puskesmas Jombang
147 apt. Yudi Murdianto, S.Si., M.M. 03111971004972 RSUD. kabupaten Tangerang
148 apt. Yuli Daswiyah, S.Farm. 09071986043768 RSUD. Kabupaten Tangerang
149 apt. Yunianty Yunita, S.Si. 04061977064262 Apotek Stella Medika 2
150 apt. Yuwiana Muhawatin, S.Si. 07101983002501 Apotek Dua Pharma