DAFTAR SARANA APOTEK PROVINSI PAPUA

Print date : 8-09-2017

Apotek

DAFTAR SARANA APOTEK PROVINSI PAPUA NAMA APOTEK

NO IZIN

ALAMAT

TLP/FAX

PENANGGUNG JAWAB

JENIS KELAMIN (P/L)

IZIN PENANGGUNG JAWAB

NAMA PEMILIK

APOTEKER IZIN APT TUTUP TAHUN PENDAMPING PENDAMPING

NO

KAB/KOTA

1

KAB. ASMAT

Apotek Permata

-

-

-

David R. Rantesalu

L

-

-

-

-

A

2015

2

KAB. ASMAT

Apotek Quickly

-

-

-

Irma, S. Farm, Apt

P

-

-

-

-

A

2015

3

KAB. ASMAT

Apotek Bunda Maria

-

-

-

Ferdinand Manansang, S.Farm, Apt

L

-

-

-

-

A

2015

4

KAB. ASMAT

Apotek Pelita Harapan

-

-

-

Faridah Syam, S.Si, Apt

P

-

-

-

-

A

2015

5

KAB. BIAK NUMFOR

Apotek Agung

-

-

-

Joise Pangumbalirang, S.Si., Apt

P

-

-

-

-

A

2015

6

KAB. BIAK NUMFOR

Apotek Bethesda

-

-

-

Drs. Suryadi Haruna

L

-

-

-

-

A

2015

7

KAB. BIAK NUMFOR

Apotek Biak Farma

-

-

-

-

-

-

-

-

-

A

2015

8

KAB. BIAK NUMFOR

Apotek Bintang Terang

-

-

-

Feranianty Harpina Sfarm.,Apt

P

-

-

-

-

A

2015

9

KAB. BIAK NUMFOR

Apotek Bunda

-

-

-

Jusmwai, S.Si., Apt

P

-

-

-

-

A

2015

10

KAB. BIAK NUMFOR

Apotek Gandhawati

-

-

-

Drs. Robert S

L

-

-

-

-

A

2015

11

KAB. BIAK NUMFOR

Apotek Gloria

-

-

-

Youce P

P

-

-

-

-

A

2015

12

KAB. BIAK NUMFOR

Apotek Hassel

-

-

-

Sriyanto, S.Si., Apt

L

-

-

-

-

A

2015

13

KAB. BIAK NUMFOR

Apotek Nurfadillah

-

-

-

Tholib Fatukhorahman, S.Si.Apt

L

-

-

-

-

A

2015

14

KAB. BIAK NUMFOR

Apotek Papua Sehat

-

-

-

-

-

-

-

-

-

A

2015

15

KAB. BIAK NUMFOR

Apotek Sinar

-

-

-

Ike Ratna Dewi, Apt

P

-

-

-

-

A

2015

16

KAB. BIAK NUMFOR

Apotek Tefila

-

-

-

-

-

-

-

-

-

A

2015

17

KAB. BOVEN DIGOEL

Apotek Ambe Farma

02/SIA/BD/2009

Jl. Pieera Tendean

-

Nurjannah,S.Farm,Apt

P

02/SIP-A/BD/2009

Venny Florence

-

-

A

2015

18

KAB. BOVEN DIGOEL

Apotek Azka Sehat

01/SIA/BD/2014

Kamp.Persatuan Distrik Mandobo

-

Muhammad Nurdin Rasbi,S.Farm,Apt

L

02/SIP-A/BD/2013

Hj.Nahriah

-

-

A

2015

19

KAB. BOVEN DIGOEL

Apotek Paramita Medika

03/SIA/BD/2013

Kamp.Persatuan Distrik Mandobo

-

Denni Prihantoro,S.Farm

L

05/SIP-A/BD/2013

Ariska Hasiruddin

-

-

A

2015

20

KAB. BOVEN DIGOEL

Apotek Sehat

02/SIA/BD/2013

Jl. Trans Papua Km.2 Distrik Mandobo

-

Meti Siada',S.Si,Apt

P

01/SIP-A/BD/2013

Dwiyana Kelila E

-

-

A

2015

1


Apotek

NAMA APOTEK

NO IZIN

ALAMAT

TLP/FAX

PENANGGUNG JAWAB

JENIS KELAMIN (P/L)


NAMA PEMILIK


NO

KAB/KOTA

21

KAB. BOVEN DIGOEL

Apotek Sentosa Farma

04/SIA/BD/2011

Rt.Iv.Kp.Persatuan-Distrik Mandobo

-

Restu Rante,S,Si,Apt

P

01/SIP-A/BD/2011

Restu Rante ,S.Si,Apt

-

-

A

2015

22

KAB. JAYAPURA

Apotek Budi

-

Jl. Raya Sentani No. 541 A

-

Henny Anggareni Batti, S.Si, Apt

P

043/SIK-Apt/V/14

Henny Maria

-

-

A

2015

23

KAB. JAYAPURA

Apotek Century Health Care

19/SIA-JPR/IX/11

Mall Borobudur Lantai Dasar

-

Nancy, S.Farm,Apt

P

26/SIK-Apt/IX/11

-

-

-

A

2015

24

KAB. JAYAPURA

Apotek Citra Farma

08/SIA-JPR/V/12

Komp. Ruko Sentani Permai No. 10 Sentani

-

Imelda C., S.Farm,Apt.

P

011/SIK-Apt/VI/12

Imelda Citra, S. Farm, Apt

-

-

A

2015

25

KAB. JAYAPURA

Apotek Dahsyat Farma 24

32/SIA-JPR/V/13

Jl. Kemiri Sentani

-

Marlina, S. Farm, Apt

P

040/SIK-Apt/13

Roskar

-

-

A

2015

26

KAB. JAYAPURA

Apotek Dasyat Farma

12/SIA-JPR/II/10

Jl. Pasar Lama No. 02 Sentani

-

Rosliah,S.Si,Apt

P

18/SIK-Apt/II/10

Roskar

-

-

A

2015

27

KAB. JAYAPURA

Apotek Dasyat Farma 21

22/SIA-JPR/VII/13

Jl. Sentani Depapre

-

Astrina Dewi Ratnaningrum, S.Farm,Apt

P

033/SIK-Apt/VII/13

Roskar

-

-

A

2015

28

KAB. JAYAPURA

Apotek Doa Bunda

29/SIA-JPR/V/14

Ruko Purwodadi Blok A No. 32 Sentani

-

Marlen P. Kakiasina, S. Farm, Apt

P

045/SIK-Apt/V/14

Syamsiah

-

-

A

2015

29

KAB. JAYAPURA

Apotek Galvin

02/SIA-JPR/V/13

Jl. Arteri Primer - Kemiri Sentani

-

Yeni Fitri, S.Si.Apt

P

039/SIK-Apt/VI/13

Drs. Roriwo K, Mm

-

-

A

2015

30

KAB. JAYAPURA

Apotek Gita Farma

09/SIA-JPR/IX/12

Jl. Pasar Baru Paraa Sentani

-

Edward H. M.Sihotang,S.Si,Apt

L

014/SIK-Apt/XI/12

Gatot Sriyono

-

-

A

2015

31

KAB. JAYAPURA

Apotek Gratia

05/SIA-JPR/IV/12

Jl. Raya Sentani No. 132 H

-

Erika Christin Ireni, S. Farm, Apt

P

05/SIK-Apt/IX/14

Martina S. Manangsang

-

-

A

2015

32

KAB. JAYAPURA

Apotek Gratia II

13/SIA-JPR/III/10

Jl. Poros Depapre Doyo Baru Waibu

-

Marselino F. Paepadaseda,S.Si,Apt

L

19/SIK-Apt/III/10

Ny. Rosario Akihari

-

-

A

2015

33

KAB. JAYAPURA

Apotek Hawai Farma

37/SIA-JPR/II/14

Jl. Raya Hawai Sentani

-

Siti Musdalifah S.Si, Apt

P

042/SIK-Apt/II/14

Rosnaeni Alwi

-

-

A

2015

34

KAB. JAYAPURA

Apotek Kurnia Farma

01/SIA-JPR/8/11

Jl. Kemiri No. 4 Sentani

-

Dra.Dyah Ariani Y, Apt

P

06/SIK-Apt/08/11

H. Ridwan, Sh

-

-

A

2015

35

KAB. JAYAPURA

Apotek Kurnia Farma 2

36/SIA-JPR/X/13

Jl. Pasar Lama Sentani

-

Leni Nuraeni, S.Farm, Apt

P

041/SIK-Apt/X/13

H. Ridwan, Sh

-

-

A

2015

36

KAB. JAYAPURA

Apotek Medyadani

23/SIA-JPR/I/13


-

Dzukharian Munandar, S. Farm, Apt

L

032/SIK-Apt/XII/12

Heidy Dwi Medyadani

-

-

A

2015

37

KAB. JAYAPURA

Apotek Mutiara Cempaka

31/SIA-JPR/VIII/14


-

Maria Katannun, S.Si, Apt

P

038/SIK-Apt/VIII/14

Dr. Florence Nightingale Siahaan

-

-

A

2015

38

KAB. JAYAPURA

Apotek NISSA

15/SIA-JPR/VI/10

Jl. Raya Sentani No. 27

-

Nunik Anggraeni,S.Farm,Apt

P

21/SIK-Apt/VI/10

Drg. Nurnaeni I. Astuti

-

-

A

2015

39

KAB. JAYAPURA

Apotek Parnambai Farma

17/SIA-JPR/XI/12

Jl. Raya Kemiri Sentani

-

Binsal, S.Farm,Apt

L

031/SIK-Apt/XI/12

M. E Simbolon (Almarhum)

-

-

A

2015

40

KAB. JAYAPURA

Apotek Permata

20/SIA-JPR/XI/11

Jl. Sentani Depapre

-

Jenetje Wambraw,S.Si,Apt

P

27/SIK-Apt/IX/11

-

-

-

A

2015

41

KAB. JAYAPURA

Apotek Ratu Farma

30/SIA-JPR/III/13

Doyo Baru Sentani

-

Donald Tandiose, S. Farm, Apt

L

037/SIK-Apt/III/13

F.X Kristanto, Sh

-

-

A

2015

42

KAB. JAYAPURA

Apotek Rayhan

34/SIA-JPR/VII/13

Jl. Yahim Pasar Lama Sentani

-

Iriani Nurin Sari Amaliah,S. Farm, Apt

P

039/SIK-Apt/VII/13

H. Amal Hasan. A.H

-

-

A

2015

2


Apotek

NAMA APOTEK

NO IZIN

ALAMAT

TLP/FAX

PENANGGUNG JAWAB

JENIS KELAMIN (P/L)


NAMA PEMILIK


NO

KAB/KOTA

43

KAB. JAYAPURA

Apotek Sari

18/SIA-JPR/II/13

Jl. Yahim Sentani

-

Marta Tambunan, S.Si,Apt

P

34/SIK-Apt/II/13

Fatma Sari

-

-

A

2015

44

KAB. JAYAPURA

Apotek Sentani Farma

06/SIA-JPR/II/13

Jl. Kemiri No. 12 Sentani

-

Herianto Baan, S.Si, Apt

L

035/SIK-Apt/I/13

Zubirman

-

-

A

2015

45

KAB. JAYAPURA

Apotek Talenta Lima

33/SIA-JPR/VI/13

Jl. Raya Kemiri Sentani

-

Elisabeth, S.Si, Apt

P

041/SIK-Apt/V/13

Kalvari

-

-

A

2015

46

KAB. JAYAWIJAYA

Apotek Advent

68/SIA-JWJ/2014

Jl. Hom-Hom No 2

(0969)34567

Stevani Rani Seran S.Farm, Apt

P

62/SIK-APT/2014

Gereja Advent

-

-

A

2015

47

KAB. JAYAWIJAYA

Apotek Annabelle

059/SIA-JWJ/2014

Jl. Sangir

85344256662

Fransiskus Palindangan S.Farm, Apt

L

065/SIK-APT/2013

Rendita Tamauka S.Ab

-

-

A

2015

48

KAB. JAYAWIJAYA

Apotek Arsita Ratu

02/SIA-JWJ/2011

Jl. Irian No. 72

(0969)32537

Hadirah, S.Farm, Apt

P

02/SIK-APT/2011

Usmi Irianti Djufri

-

-

A

2015

49

KAB. JAYAWIJAYA

Apotek Baliem

04/SIA-JWJ/2011

Jl. Yos Sudarso

(0969)34116

Reny R.D Ramma, S.Farm,Apt

P

07/SIK-APT/2012

Pd. Irian Bhakti

-

-

A

2015

50

KAB. JAYAWIJAYA

Apotek Belicia

41/SIA-JWJ/2012

Jl. Trikora

(0969)31131

Yusnita Ta'Bi Pataru S.Farm, Apt

P

41/SIK-APT/2012

Beben Kosasih

-

-

A

2015

51

KAB. JAYAWIJAYA

Apotek Darma 1

23/SIA-JWJ/2012

Jl. Ahmad Yani

(0969)34485

Darmawati, S.Si, Apt

P

02/SIK-APT/2012

H. Andi Adong

-

-

A

2015

52

KAB. JAYAWIJAYA

Apotek Darma 2

09/SIA-JWJ/2012

Jl. Pasar Baru

(0969)33108

Noela Natalia Mangape S.Si, Apt

P

66/SIK-APT/2013

Darmawati

-

-

A

2015

53

KAB. JAYAWIJAYA

Apotek Darma 3

023/SIA-JWJ/2012

Komp Pasar Wouma

(0969)33099

Guntur Ridho Utomo S.Farm, Apt

L

63/SIK-APT/2014

Darmawati

-

-

A

2015

54

KAB. JAYAWIJAYA

Apotek Darma 4

024/SIA-JWJ/2012

Jl. Hom-Hom

(0969)34407

Heronirma Lanu, S.Farm,Apt

P

28/SIK-APT/2012

Darmawati

-

-

A

2015

55

KAB. JAYAWIJAYA

Apotek Darma 5

50/SIA-JWJ/2014

Jl. Trikora (Hom-Hom)

(0969)32185

Febiyanti Tangilombang, S.Farm, Apt

P

71/SIK-APT/2014

Darmawati

-

-

A

2015

56

KAB. JAYAWIJAYA

Apotek Delima

-

Jl. Panjaitan

(0969)34410

Alif Suryaningsi, S.Farm, Apt

P

064/M3/ii/JWJ/2014

Ming Sumirah

-

-

A

2015

57

KAB. JAYAWIJAYA

Apotek Delta Cipta

32/SIA-JWJ/2012

Jl. Safri Darwin

(0969)31444

Paulina Datuan, S.Si, Apt

P

37/SIK-APT/2012

Sihar Pardede

-

-

A

2015

58

KAB. JAYAWIJAYA

Apotek Firdaus 1

06/SIA-JWJ/2012

Jl. Honai Lama

-

Saparudin Latu, S.Si,Apt

L

-

Saparudin Lattu

-

-

A

2015

59

KAB. JAYAWIJAYA

Apotek Firdaus 3

22/SIA-JWJ/2012

Jl. Sudirman

(0969)34077

Mariani S.Si, Apt

P

22/SIK-APT/2012

Saparudin Lattu

-

-

A

2015

60

KAB. JAYAWIJAYA

Apotek Golden Farma

-

Jl. Trikora

-

-

-

-

Dr. Carla

-

-

A

2015

61

KAB. JAYAWIJAYA

Apotek Honai Sehat

33/SIA-JWJ/2012

Jl. Trikora

(0969)32784

Erni Ijayanti S.Farm, Apt

P

38/SIK-APT/2011

Hermin Marpaung

-

-

A

2015

62

KAB. JAYAWIJAYA

Apotek Irian Farma

04/SIA-JWJ/2012

Jl. Jb Wenas

-

Nengsih Romauli

P

04/SIK-APT/2012

Hadirah

-

-

A

2015

63

KAB. JAYAWIJAYA

Apotek Jaya Farma

28/SIA-JWJ/2011

Jl. Bhayangkara

-

Nurlina, S.Farm,Apt

P

28/SIK-APT/2011

Dr.Lila Kumaladewi

-

-

A

2015

64

KAB. JAYAWIJAYA

Apotek Jeslyn Farma

43/SIA-JWJ/2011

Jl. Yos Sudarso

(0969)34484

Rice, S.Farm,Apt

P

42/SIK-APT/2012

Jackson Marsuki

-

-

A

2015

65

KAB. JAYAWIJAYA

Apotek Keluarga

69/SIA-JWJ/2014

Jl. Sudirman

-

Mitra, S.Farm,Apt

P

72/SIK-APT/2014

Dr Ranto Jaya

-

-

A

2015

3


Apotek NO IZIN

ALAMAT

TLP/FAX

PENANGGUNG JAWAB

JENIS KELAMIN (P/L)


NAMA PEMILIK


NO

KAB/KOTA

NAMA APOTEK

66

KAB. JAYAWIJAYA

Apotek Klinik Grace

48//SIA-JWJ/2012

Jl. Trikora

(0969)33500

Musdayanti Sukawati Ius S.Si, Apt

P

45/SIK-APT/2012

Dr Andrew Christian Runtu

-

-

A

2015

67

KAB. JAYAWIJAYA

Apotek Maju Makmur 2

47/SIA-JWJ/2012

Jl. Ahmad Yani

(0969)34887

Marlin Bokko S.Si,Apt

P

49/SIK-APT/2013

Safrudin Djasa

-

-

A

2015

68

KAB. JAYAWIJAYA

Apotek Makmur

03/SIA-JWJ/2011

Jl. Trikora

(0969)34371

Nursiah Burhanudin, S.Farm,Apt

P

03/SIK-APT/2011

H. Burhanuddin

-

-

A

2015

69

KAB. JAYAWIJAYA

Apotek Mitra Sehat 1

21/SIA-JWJ/2012

Jl. Trikora

(0969)33635

Drs. Safrudin Djasa, Apt

L

39/SIK-APT/2012

Safrudin Djasa

-

-

A

2015

70

KAB. JAYAWIJAYA

Apotek Mitra Sehat 3

18/SIA-JWJ/2010

Jl. Safri Darwin

(0969)33399

Fadli Limbungan, S.Si, Apt

L

18/SIK-APT/2010

Safrudin Djasa

-

-

A

2015

71

KAB. JAYAWIJAYA

Apotek Putri

31/SIA-JWJ/2014

Jl. Trikora

(0969)32635

Afriani Sarasak, S.Farm, Apt

P

71/SIK-APT/2014

Anita Imbiri. Amd Keb

-

-

A

2015

72

KAB. JAYAWIJAYA

Apotek Samuel

-

Jl. Safri Darwin

(0969)33655

-

-

-

Dr Welly Elimelek Mambeuw Sp B

-

-

A

2015

73

KAB. JAYAWIJAYA

Apotek Sinar Medika

25/SIA-JWJ/2011

Jl. Patimura

81344384888

Yospina Palada, S.Si,Apt

P

25/SIK-APT/2012

Yospina Palada

-

-

A

2015

74

KAB. JAYAWIJAYA

Apotek Sinar Medika 2

70/M3/II/2013

Jl. Irian

81344384888

Sartika Paluta S.Farm, Apt

P

70/SIK/II/2013

Yospina Palada

-

-

A

2015

75

KAB. JAYAWIJAYA

Apotek Veronika

06/SIA-JWJ/2011

Jl. Sulawesi

(0969)31352

Karen Rukino, S.Si, Apt

P

08/SIK-APT/2011

Dr. Antonius Manaor

-

-

A

2015

76

KAB. KEEROM

Apotek Keerom Jaya Farma

449.1/SIA/04-K/2012

Jl. Bhayangkara no.204 -.Swakarsa

0852 1065 6002

Yuliana Karrang, S.Farm,Apt

P

449.2/SIP.AP/03-K/2012

dr.Silvester Salombe,Sp.PD

-

-

A

2015

77

KAB. KEEROM

Apotek Setia

449.1/SIA/03-K/2011

Jl. Garuda Arso 2

0813 4404 8424

Ivonie Caroline, Apt

P

449.2/SIP.AP/04-K/2012

Marthen Mual

-

-

A

2015

78

KAB. KEEROM

Apotek Swakarsa Farma

449.1/SIA/05-K/2013

Jl. Bhayangkara No. 256 Swakarsa

0812 4842 2997

Hamida, S.Farm, Apt

P

449.2/SIPA/05-K/1/2013

Hamida,S.Farm.Apt

-

-

A

2015

79

KAB. KEPULAUAN YAPEN

Apotek Ananda

140/SIA-IRJA/99.1/00

Jl. Imam Bonjol

(0983)32121

Yohannes Geo Tena, SSi., Apt.

L

117-26/SIK-A/00

dr. Suheni, Sp.M

-

-

A

2015

80


Apotek Menara Farma

419/440/Si-Ap/05

Jl. Gajah Mada

82198676535

Andi Baderia SSi., Apt.

P

418/440/SIK-A/05

Hj. Normawati, S.Sos

Sudaryati, S.Si., Apt

-

A

2015

81


Apotek Mitra Ananda

YM.02.042/256/442/2004

Jl. Yos Sudarso

(0983)33251

Resa Restu Kaidel, SSi., Apt.

P

983-26/SIK-A/98

dr. Suheni, Sp.M

-

-

A

2015

82


Apotek Monginsidi

577/442/KESH

Jl. Moh Yamin

(0983)33191/33032

Ittang Virgonolia, S.Farm., Apt.

P

30/440/SDM/SIK-A/KESH/2012

dr. Luddy Suthelie

-

-

A

2015

83


Apotek Serui Farma

134/SIA-IRJA/95.1/00

Jl. Pasir Hitam No.5

-

Wardawaty, SSi., Apt.

P

111-26/SIK-A/99

Hj. Nur Aida, BA

-

-

A

2015

84

KAB. MAPPI

Apotek Arrio Farma

02 / SIA - MP / 2011

Jl. Kalimanatan, Kepi

81248843342

Reni Arung Tasik, Ssi,Apt

P

02 / SIK - AS / MP / 2011

Susan Fintarti Setiasih, Ssi,Apt

-

-

A

2015

85

KAB. MAPPI

Apotek Junior

01 / SIA - MP / 2014

Jl. Kalimanatan, Kepi

85299577307

Theresia Tanan, Ssi,Apt

P

01 / SIPA - MP / 2014

Monika Parrang Bangke,Ssi.Apt

-

-

A

2015

86

KAB. MAPPI

Apotek Maesa

02 / SIA - MP / 2014

Jl. Irian Kepi

81344259492

Akmiani,S.Farm,Apt

P

02 / SIPA - MP / 2014

Johana Wewengkang

-

-

A

2015

87

KAB. MAPPI

Apotek Sehat Sabar

01 / SIA - MP / 2013

Jl. Irian Kepi

85255825953

Hernita Ssi,Apt

P

01 / SIPA / MP / 2014

Santiwati,S.Kep,Ners

-

-

A

2015

4

Print date : 8-09-2017 NAMA APOTEK

Apotek NO IZIN

ALAMAT

TLP/FAX

PENANGGUNG JAWAB

JENIS KELAMIN (P/L)


NAMA PEMILIK


NO

KAB/KOTA

88

KAB. MERAUKE

Apotek Agung Mulya

09/SIA-MRQ/2004

Jl. R. Mandala No. 16

(0971)326678

Ahmad Rifai, S.Si. Apt.

L

05/SIK-A-MRQ/2004

Dr. Inge Silvia

-

-

A

2015

89

KAB. MERAUKE

Apotek Anugerah Utama

06/SIA-MRQ/2004

Jl. Tmp Trikora No. 43

(0971)322316

Lok Pin, S.Si., Apt.

L

04/SIK-A-MRQ/2004

Lok Pin, S.Si., Apt.

-

-

A

2015

90

KAB. MERAUKE

Apotek Arihta Farma

31/SIA - MRQ /2013

Jl. Brawijaya

-

Ria Uli T. Simbolon, S.Farm, Apt

P

20/SIK-A/MRQ/2007

Ria Uli

-

-

A

2015

91

KAB. MERAUKE

Apotek Berkat Farma

35/SIA - MRQ /2014

Jl. Ahmad Yani

-

Murniyanti, S.Farm, Apt

P

42/SIK-A-MRQ/2014

Eduardus P.T

-

-

A

2015

92

KAB. MERAUKE

Apotek Chrisna Farma

12/SIA-MRQ/2005


-

Dra. Erny Siahaya, Apt.

P

01/SIK-A-MRQ/2004

Dra. Erny Siahaya, Apt.

-

-

A

2015

93

KAB. MERAUKE

Apotek Ganesha Farma

03/SIA-MRQ/2004


(0971)321730

Frederika Endang K.D. S.Farm Apt

P

28/SIK-A-MRQ/2009

Ny. Elida P. Siregar

-

-

A

2015

94

KAB. MERAUKE

Apotek Harmoni

14/SIA-MRQ/2005


(0971)322888

Severina Sri Haryuni S.Farm Apt

P

26/SIK-A-MRQ/2009

Ir. Hendrikus Woen Lian

-

-

A

2015

95

KAB. MERAUKE

Apotek Heflors Farma

17/SIA-MRQ/2006


(0971)326532

Dian Betaubun S, Farm.Apt

P

-

Jorgen Betaubun

-

-

A

2015

96

KAB. MERAUKE

Apotek K24

27/SIA - MRQ /2010

Jl. R Mandala Muli No 293

-

Indrawan Adi Putra,S.Farm ,Apt

L

34/SIK - A -MRQ/2010

Tjahyadi Soeminta

-

-

A

2015

97

KAB. MERAUKE

Apotek K24

33/SIA - MRQ /2013

Jl. Tmp Polder

-

Agnes D. Purba, S.Farm, Apt

P

28/SIPA/MRQ/2013

Tjahyadi Soeminta

-

-

A

2015

98

KAB. MERAUKE

Apotek Kasih Farma

34/SIA - MRQ /2013

Jl. Protokol Kuprik

-

Eduardus P. T,. S.Si, Apt

L

09/SIK-A/MRQ/2011

Chintia I. Pasaribu

-

-

A

2015

99

KAB. MERAUKE

Apotek La Raiba Farma

02/SIA-MRQ/2004


(0971)324037

Drs. Kaimudin La Mudjidi, Apt.

L

02/SIK-A-MRQ/2004

Drs. Kaimudin Lm

-

-

A

2015

100

KAB. MERAUKE

Apotek Miracle Farma

28/SIA - MRQ /2011

Jl. Raya Mandala

-

Meilisa Saliyo

P

36/SIK - A -MRQ/2011

Meilisa Saliyo

-

-

A

2015

101

KAB. MERAUKE

Apotek Mitha Farma

23/SIA-MRQ/2008

Jl. Soekardjo W.

-

Elsy, S.Si., Apt

P

24/SIK-A/MRQ/2008

Albertin Siada Amd

-

-

A

2015

102

KAB. MERAUKE

Apotek Pratiwi

16/SIA-MRQ/2006


-

Indah Kartika Sari S,Farm Apt

P

32/SIK-A-MRQ/2010

Daryono Gunawan

-

-

A

2015

103

KAB. MERAUKE

Apotek Promedika

21 / SIA-MRQ /2007

Jl. Raya Mandala No. 104

-

Cicilia S.Farm,Apt

P

22 / SIK-A-MRQ / 2007

Cv. Promedika

-

-

A

2015

104

KAB. MERAUKE

Apotek Restu Farma

25/SIA-MRQ/2010

Jl. Irian Seringgu

-

Makbul S.Farm,Apt

L

11/SIK-A-MRQ/2004

Makbul S.Farm,Apt

-

-

A

2015

105

KAB. MERAUKE

Apotek Shan Farma

30/SIA - MRQ /2012

Jl. Gor Merauke

-

Muhamad Irsan, S.Farm, Apt

L

26/SIPA/MRQ/2012

Muhamad Irsan

-

-

A

2015

106

KAB. MERAUKE

Apotek Sumber Rejeki

19 / SIA-MRQ /2006

Jl. Raya Mandala No. 161

-

Santhy Charyani P.Farm Apt

P

-

Sri Rahayu

-

-

A

2015

107

KAB. MERAUKE

Apotek Wei Mirah Farma

10/SIA-MRQ/2004


(0971)325090

Besse Dwy Ayu Paramitha Dai

P

31/SIK-A-MRQ/2010

Samuel Padi Utomo

-

-

A

2015

108

KAB. MERAUKE

Apotek Wira Farma

29/SIA - MRQ /2011

Jl. Raya Mandala Spadem

-

Renawati Padatu, S.Si Apt

P

37/SIK - A -MRQ/2013

Absyam A

-

-

A

2015

109

KAB. MIMIKA

Apotek Berkat

14/SIA-MMK/2012

Jl. Budi Utomo

81241172217

Jenni Padallingan

P

18/SIPA-MMK/2012

Oktavianus Pamangin

-

-

A

2015

5


Apotek

NAMA APOTEK

NO IZIN

ALAMAT

TLP/FAX

PENANGGUNG JAWAB

JENIS KELAMIN (P/L)


NAMA PEMILIK


NO

KAB/KOTA

110

KAB. MIMIKA

Apotek Arguni

09/SIA-MMK/2012

Jl. Yos Sudarso

-

Muhammad Guntur

L

-

-

-

-

A

2015

111

KAB. MIMIKA

Apotek Arlan

03/SIA-MMK/2013

Jl. Ahmad Yani

-

Nina Kusumaningrum

P

03/SIPA-MMK/2013

-

-

-

A

2015

112

KAB. MIMIKA

Apotek Budi Utomo

08/SIA-MMK/2013

Jl. Yos Sudarso Sp1

-

Esther Mbewu

P

10/SIPA-MMK/2013

Ester Mbewu

-

-

A

2015

113

KAB. MIMIKA

Apotek Cahaya Farma

11/SIA-MMK/2010

Jl. , Yos Sudarso, Sp 1

-

Marlina Tomasoa

P

11/SIK-MMK/2010

Mujinab

-

-

A

2015

114

KAB. MIMIKA

Apotek Cahaya Medica

08/SIA-MMK/2012

Jl. , Hasanuddin

-

Merry

P

10/SIPA-MMK/2012

PT. Cahaya Mitra Jaya

-

-

A

2015

115

KAB. MIMIKA

Apotek Etna

10/SIA-MMK/2012

Jl. , Yos Sudarso

-

Danestra

P

12/SPA-MMK/2012

Thamrin Rudi

-

-

A

2015

116

KAB. MIMIKA

Apotek Fajar Komoro

16/SIA-MMK/2012

Jl. Yos Sudarso Sp1

-

Nasriah

P

04/SIPA-MMK/2012

Hj. Amnah

-

-

A

2015

117

KAB. MIMIKA

Apotek Farmika

-

-

-

Yenlina

P

-

-

-

-

A

2015

118

KAB. MIMIKA

Apotek Fortuna Farma

-

Jl. Yos Sudarso Nawaripi

-

Susanti Juni Wulansari

P

-

-

-

-

A

2015

119

KAB. MIMIKA

Apotek Gopal

12/SIA-MMK/2012

Jl. Poros Kuala Kencana Sp3

-

Dahlan

L

16/SIPA-MMK/2012

Dahlan

-

-

A

2015

120

KAB. MIMIKA

Apotek Harapan

-

Jl. Ki Hajar Dewantara

-

Yuliana Pea

P

11/SIPA-MMK/2013

Mariana K Salinas

-

-

A

2015

121

KAB. MIMIKA

Apotek Ika

13/SIA-MMK/2010

Jl. Budi Utomo

-

Yulia Patabang

P

13/SIK-MMK/2010

Agus Budi Santoso

-

-

A

2015

122

KAB. MIMIKA

Apotek Kamoro

13/SIA-MMK/2012

Jl. Belibis

-

Rahmadany

L

19/SIPA-MMK/2012

Pd Irian Bhakti

-

-

A

2015

123

KAB. MIMIKA

Apotek Kasih Herlian

-

Jl. Ahmad Yani

-

Dewi Kadedeng

P

-

-

-

-

A

2015

124

KAB. MIMIKA

Apotek Khirani

03/SIA-MMK/2013

Jl. Yos Sudarso

-

Bertha

P

21/SIPA-MMK/2012

Nurhani

-

-

A

2015

125

KAB. MIMIKA

Apotek Laga Ligo

03/SIA-MMK/2012

Jl. Budi Utomo

-

Rusnadi Baktiar

P

03/SIPA-MMK/2012

Rusnadi

-

-

A

2015

126

KAB. MIMIKA

Apotek Lagaligo 2

-

-

-

Nurfajri

L

-

-

-

-

A

2015

127

KAB. MIMIKA

Apotek Mandiri

-

Jl. Nuri

-

Irianti Benedikta Taborat

P

-

-

-

-

A

2015

128

KAB. MIMIKA

Apotek Medical Farma

01/SIA-MMK/2014

Jl. Budi Utomo

-

Victress Siahaya Tjandra

P

02/SIPA-MMK/2014

Sional Wiwangsa

-

-

A

2015

129

KAB. MIMIKA

Apotek Medicine Center

03/SIA-MMK/2012

Jl. Cenderawasih

-

Anugrah

P

08/SIPA-MMK/2012

Dr. Astuty

-

-

A

2015

130

KAB. MIMIKA

Apotek Medika Bakti

-

Jl. Yos Sudarso

-

Agus Budi Santosa

L

-

-

-

-

A

2015

131

KAB. MIMIKA

Apotek Mega

07/SIA-MMK/2013

Jl. Hasanuddin

-

Harmiati

P

07/SIPA-MMK/2013

Andi Hadijah Hafid

-

-

A

2015

6


Apotek

NAMA APOTEK

NO IZIN

ALAMAT

TLP/FAX

PENANGGUNG JAWAB

JENIS KELAMIN (P/L)


NAMA PEMILIK


NO

KAB/KOTA

132

KAB. MIMIKA

Apotek Mimika Farma

-

Jl. Yos Sudarso

-

Edy Paundanan

L

-

-

-

-

A

2015

133

KAB. MIMIKA

Apotek Mitra Farma

-

Jl. Charitas Sp II

-

Novi Indriastutik

P

-

-

-

-

A

2015

134

KAB. MIMIKA

Apotek Mitra Husada

02/SIA-MMK/2012

Jl. Hasanuddin

-

Yusri Dahlan

P

05/SIPA-MMK/2012

Yusri Dahlan

-

-

A

2015

135

KAB. MIMIKA

Apotek Mitra Keluarga

06/SIA-MMK/2013

Jl. Nangka Sp II

-

Lusia Imerlda

P

05/SIPA-MMK/2013

Lusia Imelda

-

-

A

2015

136

KAB. MIMIKA

Apotek Mmc

07/SIA-MMK/2012

Jl. Budi Utomo

-

Aisyah

P

15/SIPA-MMK/2012

H.Iwan Anwar, Sh

-

-

A

2015

137

KAB. MIMIKA

Apotek Mulia

06/SIA-MMK/2012

Jl. Ahmad Yani

-

Rani Siang Pakiding

P

03/SIPA-MMK/2014

Rani Siang Pakiding

-

-

A

2015

138

KAB. MIMIKA

Apotek Nidya Farma

01/SIA-MMK/2011

Jl. Bhayangkara No.94

-

Hela Rukmana

P

01/SIK-MMK/2011

-

-

-

A

2015

139

KAB. MIMIKA

Apotek Orpa

-

-

-

Dewi Alexander

P

-

-

-

-

A

2015

140

KAB. MIMIKA

Apotek Pasu-Pasu

-

Jl. Serui Mekar

-

Hardiman

L

-

-

-

-

A

2015

141

KAB. MIMIKA

Apotek Prima Sehat

-

Jl. Ki Hajar Dewantara

-

Natalia Ada'

P

-

Dr. Heri

-

-

A

2015

142

KAB. MIMIKA

Apotek Raisyah

01/SIA-MMK/2013

Jl. Timikashop

-

Ekawaty

P

01/SIPA-MMK/2013

Ekawaty

-

-

A

2015

143

KAB. MIMIKA

Apotek Raphael

-

-

-

Onna Bunga

P

-

-

-

-

A

2015

144

KAB. MIMIKA

Apotek Rizky

15/SIA-MMK/2012

Jl. Budi Utomo

-

Hadjiah P.

P

15/SIKA-MMK/2012

-

-

-

A

2015

145

KAB. MIMIKA

Apotek Said

-

Jl. Yos Sudarso

-

Lina Pasapan Malino

P

02/SIPA-MMK/2014

Nurmina Tarata

-

-

A

2015

146

KAB. MIMIKA

Apotek Sinar Intan

04/SIA-MMK/2009

Jl. Yos Sudarso

-

Iin Rakhmawaty

P

10/SIK-MMK/2009

H. Darwis

-

-

A

2015

147

KAB. MIMIKA

Apotek Sumber Sehat

-

Jl. Bougenville

-

Nizma

P

-

-

-

-

A

2015

148

KAB. MIMIKA

Apotek Zaahra

06/SIA-MMK/2012

Jl. Budi Utomo

-

Kanmawati Halim

P

06/SIPA-MMK/2012

Salma H Latief

-

-

A

2015

149

KAB. NABIRE

Apotek Ainon Farma

PROSES PENGURUSAN

Jl. R.E Marthadinata

-

Riani Kanna, S. Farm, Apt

P

503/249/SIPA-NBR/X/2014

Riani Kanna, S.Farm, Apt

-

-

A

2015

150

KAB. NABIRE

Apotek Al-Fatih

503/53/SIA-NBR/III/2014

Jl. Gereja-Nabarua

-

Naimat Ussolehah,S.Farm, Apt

P

503/04/SIPA-NBR/I/2014

Dr. Dewi Rahmawati Syam

-

-

A

2015

151

KAB. NABIRE

Apotek Amanah Farma

503/147/SIA-NBR/III/2010

Jl. Merdeka

-

Nur Alam Abdullah, S.Si, M.Si, Apt

L

503/146/SIK.A-NBR/III/2010


-

-

A

2015

152

KAB. NABIRE

Apotek Anugrah Farma

503/1194/SIA-NBR/X/2010

Jl. Perintis Bumiwonorejo

-

Lastiar Lumbantoruan, S.Farm, Apt

P

503/1162/SIK.A-NBR/VIII/2010

Puspa Anggraeni

-

-

A

2015

153

KAB. NABIRE

Apotek Ariqah Farma

503/245/SIA-NBR/X/2014

Jl. Frans Kaisepo

-

Hiasinta Lira Ampang, S.Si, Apt

P

503/215/SIPA-NBR/VIII/2014

Hj. Sulastri Syamsir

-

-

A

2015

154

KAB. NABIRE

Apotek Arya Farma

503/401/SIA-NBR/III/2013


(0984)24350

Gloria Aurel, S.Farm, Apt

P

503/231/SIPA-NBR/II/2013

Arya Budi Widyartha

-

-

A

2015

7


Apotek

NAMA APOTEK

NO IZIN

ALAMAT

TLP/FAX

PENANGGUNG JAWAB

JENIS KELAMIN (P/L)


NAMA PEMILIK


NO

KAB/KOTA

155

KAB. NABIRE

Apotek Asyifa Farma

503/518/SIA-NBR/IV/2012

Jl. Poros Samabusa

-

Wahyuni, S.Farm, Apt

P

503/73/SIPA-NBR/II/2012

Wahyuni, S.Farm, Apt

-

-

A

2015

156

KAB. NABIRE

Apotek Cendrawasih Farma

503/1800/SIA-NBR/XII/2012


-

Ria Fitrahwati, S.Farm, Apt

P

503/1622/SIPA-NBR/XI/2012

Trihadi Siswanto

-

-

A

2015

157

KAB. NABIRE

Apotek Cik Akam

503/195/SIA-NBR/VII/2014

Jl. Dr Sam Ratulangi

-

Erwin Albertho, S.Farm, Apt

L

503/182/SIPA-NBR/VI/2014

Muksin

-

-

A

2015

158

KAB. NABIRE

Apotek Dolok Margu

503/1496/SIA-NBR/X/2012

Jl. Jenderal Sudirman

-

Ainin Jariati, S.Farm, Apt

P

503/1289/SIPA/VIII/2012

Eduard Nababan, Sh

-

-

A

2015

159

KAB. NABIRE

Apotek Firdaus Farma

-


-

Arlinda, S.Si, Apt

P

503/248/SIPA-NBR/X/2014

Rubbu Patari

-

-

A

2015

160

KAB. NABIRE

Apotek Ganesha Farma

503/196/SIA-NBR/VII/2014

Jl. Poros Sp I Bumi Raya

-

Zuli Fitriyani, S.Farm, Apt

P

503/131/SIPA-NBR/VI/2014

E. Muniarti

-

-

A

2015

161

KAB. NABIRE

Apotek Gloria Farma

503/176/SIA-NBR/VI/2014


(0984)25464

Dra. Wirna Rabungan,Apt

P

503/105/SIPA-NBR/V/2014

Dr. Jhony R.B. Tandisau, Sp.B,

-

-

A

2015

162

KAB. NABIRE

Apotek Gracia Farma

503/121/SIA-NBR/V/2014

Jl. Poros Sp I Bumi Raya

-

Yohanis Rombe Layuk, S.Si, Apt

P

503/103/SIPA-NBR/V/2014

Yohanis Rombe Layuk, S.Si, Apt

-

-

A

2015

163

KAB. NABIRE

Apotek Indah Farma

503/514/SIPA-NBR/IV/2013

Jl. A. Gobai

-

Paskalis Raya, S.Farm, Apt

L

503/416/SIPA-NBR/III/2013

Simon Pribadi

-

-

A

2015

164

KAB. NABIRE

Apotek Indah Farma I

503/13/SIA-NBR/I/2014

Jl. Yos Sudarso

-

Wa Ode Eliyani, S.Far, Apt

P

503/03/SIPA-NBR/I/2014

Simon Pribadi

-

-

A

2015

165

KAB. NABIRE

Apotek Irjia Farma

503/1579/SIA-NBR/XI/2012

Jl. Christina Martha Tiahahu Kalibobo

-

Kartini, S.Farm, Apt

P



-

-

A

2015

166

KAB. NABIRE

Apotek K24 R.E Marthadinata

PROSES PENGURUSAN


-

Lie Hwie S.Farm, Apt

P

503/134/SIPA-NBR/VI/2014

Lie Hwie, S.Farm, Apt

-

-

A

2015

167

KAB. NABIRE

Apotek Kanaan Farma

503/877/SIA-NBR/IX/2009


-

Malik Samiun Djafar, S.Si, Apt

L

503/793/SIK.A-NBR/VIII/2009

Dr. Djoni Nurung, Spog

-

-

A

2015

168

KAB. NABIRE

Apotek Kasih Farma

503/1361/SIA-NBR/XII/2010

Jl. Patriot

-

Anita Salombe, S.Si, Apt

P

503/1254/SIK.A-NBR/XI/2010

Anita Salombe, S.Si, Apt

-

-

A

2015

169

KAB. NABIRE

Apotek Kembar

503/128/SIA-NBR/VI/2014

Jl. Sarera Kampung Kalisemen

-

Rocha Ifahyana, S.Farm, Apt

P

503/62/SIPA-NBR/IV/2014

Rocha Ifahyana, S.Farm, Apt

-

-

A

2015

170

KAB. NABIRE

Apotek Kilinik Mitra Husada

-

Jl. Patriot Kartum

-

Misbah Hamsiah, S.Farm, Apt

P

503/198/SIPA-NBR/VII/2014

Endri Suhartanti

-

-

A

2015

171

KAB. NABIRE

Apotek Klinik Kartika

-

Jl. A.Gobay

-

Lina Tory, S.Farm, Apt

P


Dr. Surianto

-

-

A

2015

172

KAB. NABIRE

Apotek Klinik Rihensa

-

Jl. Yos Sudarso

-

Lestari, S.Farm, Apt

P

503/63/SIPA-NBR/IV/2014

Dr. Toto Suprapto, M.Kes

-

-

A

2015

173

KAB. NABIRE

Apotek Lia Farma

-


-

Supervisi

P

-

Dortje Paregaang

-

-

A

2015

174

KAB. NABIRE

Apotek Maharani

503/115/SIA-NBR/V/2014

Jl. Marlevi Legari

-

Husnawati, S.Farm, Apt

P

503/102/SIPA-NBR/V/2014

Petrus Tammu Rondeng

-

-

A

2015

175

KAB. NABIRE

Apotek Manna

503/184/SIA-NBR/VI/2014

Kompl Pasar Kalibobo

-

Debora Dassai, S.Si, Apt

P

503/112/SIPA-NBR/V/2014

Pdt. Dominngus Paulus. Situru

-

-

A

2015

176

KAB. NABIRE

Apotek Masempo

503/24/SIA-NBR/III/2014

Jl. Ds. Yan Mamoribo

-

Fitriyanti, S.Si, Apt

P

503/21/SIPA-NBR/II/2014

Fitriyanti, S.Si, Apt

-

-

A

2015

8


Apotek

NAMA APOTEK

NO IZIN

ALAMAT

TLP/FAX

PENANGGUNG JAWAB

JENIS KELAMIN (P/L)


NAMA PEMILIK


NO

KAB/KOTA

177

KAB. NABIRE

Apotek Mulia

503/464/SIA-NBR/III/2011

Jl. Merdeka

(0984)21188

Drs. Musa Mallisa, Apt

L

503/429/SIK.A-NBR/III/2011

Ruben Siang

-

-

A

2015

178

KAB. NABIRE

Apotek Nabire Farma

503/1305/SIA-NBR/VII/2013

Jl. Yos Sudarso

-

Feranika Bata, S.Si, Apt

P

503/1030/SIPA-NBR/VI/2013

Trihadi Siswanto

-

-

A

2015

179

KAB. NABIRE

Apotek Pelita Farma

503/254/SIA-NBR/V/2010


-

Rudy Tanumihardja, S.Si, Apt

L

503/145/SIK.A-NBR/III/2010

Rudy Tanumihardja, S.Si, Apt

-

-

A

2015

180

KAB. NABIRE

Apotek Rezky Farma

503/217/SIA-NBR/IX/2014


(0984)24845

Jeuquline Tentua, S.Si, Apt

P


Jeuquline Tentua, S.Si, Apt

-

-

A

2015

181

KAB. NABIRE

Apotek Santo Farma

503/389/SIA-NBR/III/2011


-

Sanvredey Toding, S.Si, Apt

L

503/96/SIK.A-NBR/I/2011

Sanvredey Toding, S.Si, Apt

-

-

A

2015

182

KAB. NABIRE

Apotek Segar Farma

503/204/SIA-NBR/VIII/2014


(0984)24177

Hera Hertana Lallo, S.Farm, Apt

L

503/135/SIPA-NBR/VI/2014

Yosephina Rante Pasau

-

-

A

2015

183

KAB. NABIRE

Apotek Sehat

503/205/SIA-NBR/VIII/2014

Jl. Ds. Yan Mamoribo

-

Mariany Mery Limbong, S.Si, Apt

P

503/187/SIPA-NBR/VII/2014

Mariany Mery Limbong, S.Si, Apt

-

-

A

2015

184

KAB. NABIRE

Apotek Tiara Farma

503/98/SIA-NBR/IV/2014

Jl. Yos Sudarso

-

Maria Balisa Date, S.Si, Apt

P


Dr. Aan Budi Santoso

-

-

A

2015

185

KAB. NABIRE

Apotek Timoty Farma

-

Jl. Perintis Bumiwonorejo

-

Romanus Heru Nugroho, S.Si, Apt

L

503/175/SIPA-NBR/VI/2014

Romanus Heru Nugroho, S.Si, Apt

-

-

A

2015

186

KAB. PUNCAK JAYA

Apotek Hasan Farma

445 / III / Dinkes

Jl. Yos Sudarso

-

Muh. Nasir Ruki, Ssi, Apt

l

KP.01.01.V5.2.2790

Muh. Nasir Ruki, Ssi, Apt

-

-

A

2015

187

KAB. SARMI

Apotek Fiamau

503/1328/SIA-NBR/IX/2012

Jl. Inpres Sarmi

-

Nuraeni, S.Farm, Apt

P

004.SIK.Apt.DKKS.2011

Hj. Dshlia

-

-

A

2015

188

KAB. SARMI

Apotek Graita

503/464/SIA-NBR/III/2011

Jl. Syamor

-

Nurhayati, S.Si, Apt

P

005.SIK.Apt.DKKS.2011

Hasan Sangkala

-

-

A

2015

189

KAB. SARMI

Apotek Medika Utama

503/417/SIA-NBR/III/2011

Jl. Kelapa I Neidam

-

Sri Putriani Balumba, S.Si, Apt

P

001.SIPA.Apt.DKKS.2014

Dr. Rohati

-

-

A

2015

190

KAB. SARMI

Apotek Sarmi Farma

503/1194/SIA-NBR/X/2010

Jl. Mamberamo

-

Maryany Sanusi Yupa, S.Si, Apt

P

-

-

-

-

A

2015

191

KAB. WAROPEN

Apotek Anugrah Farma

01/445/A/KES/2012

Urfas-Waropen

-

Frisca Imelda Tawale, S.Si,.Apt

P

04/445/A/KES/2012

Elisabeth Mote

-

-

A

2015

192

KAB. WAROPEN

Apotek Cladira Farma

-

Nonomi-Waropen

-

Debora Panggabean, S.Farm., Apt

P

870/002/SIPA-SDMK/06/2014

Frisca Imelda Tawale, S.Si,.Apt

-

-

A

2015

193

KAB. WAROPEN

Apotek Viktori Farma

04/445/A/KES/2012

Paradoi Urfas-Waropen

-

Vera Febriyanti Woriori, S.Farm., Apt

P

-

Vera Febriyanti Woriori, S.Farm., Apt

-

-

A

2015

194

KAB. YAHUKIMO

Apotek Budi

704/SIA/YHKM/VII/2014

Kompleks Pemukiman Jalur I

-

Budiati, S.Si, Apt

P

677/SIPA/YHKM/VII/2014

Budiati

-

-

A

2015

195

KAB. YAHUKIMO

Apotek Derial

01/SIA/YHKM/X/2009

Jl. Kalibonto Dekai

-

Hernita Kate, S.Si, Apt

P

01/SIK - APT/YHKM/X/2009

Debby Mamesah

-

-

A

2015

196

KAB. YAHUKIMO

Apotek Paradiso

-

Jl. Paradiso

-

-

-

-

Dr. Guntur

-

-

A

2015

197

KAB. YAHUKIMO

Apotek Sinar Kasih

-

Kompleks Ruko Dekai

-

-

-

-

Dr. Rahel Madow

-

-

A

2015

198

KOTA JAYAPURA

Apotek A

-

(Jl. Masuk RSUD Abe Bawah)

-

-

-

-

-

-

-

A

2015

199

KOTA JAYAPURA

Apotek Abe Farma

-

-

-

-

-

-

-

-

-

A

2015

9


Apotek

NAMA APOTEK

NO IZIN

ALAMAT

TLP/FAX

PENANGGUNG JAWAB

JENIS KELAMIN (P/L)


NAMA PEMILIK


NO

KAB/KOTA

200

KOTA JAYAPURA

Apotek Adi Farma

-

-

-

-

-

-

-

-

-

A

2015

201

KOTA JAYAPURA

Apotek Aditya Farma

-

-

-

-

-

-

-

-

-

A

2015

202

KOTA JAYAPURA

Apotek Aglusia

-

-

-

Dra. Lusia Ang, Apt.

P

-

-

-

-

A

2015

203

KOTA JAYAPURA

Apotek Anggrek

-

-

-

Drs.Mozez Dimalow,Apt.

L

-

-

-

-

A

2015

204

KOTA JAYAPURA

Apotek Anugrah Jaya

-

-

-

Dra.Lysa Nainggolan,Apt.

P

-

-

-

-

A

2015

205

KOTA JAYAPURA

Apotek Rakyat

-

-

-

Muh.Anshar,S.Farm,Apt.

L

-

-

-

-

A

2015

206

KOTA JAYAPURA

Apotek Asyifa Farma

-

-

-

Sulastri,S.Farm,Apt.

P

-

-

-

-

A

2015

207

KOTA JAYAPURA

Apotek B (Depan Rs Bhayangkara)

-

-

-

-

-

-

-

-

-

A

2015

208

KOTA JAYAPURA

Apotek Berkat Jaya

-

-

-

Mojaze Sirait,Apt.

L

-

-

-

-

A

2015

209

KOTA JAYAPURA

Apotek Bucend

-

-

-

-

-

-

-

-

-

A

2015

210

KOTA JAYAPURA

Apotek Bunda

-

-

-

Iin Siti Khorima,S.Si,Apt.

P

-

-

-

-

A

2015

211

KOTA JAYAPURA

Apotek Cheri Farma

-

-

-

Johnes Tomasoa,S.Si,Apt.

L

-

-

-

-

A

2015

212

KOTA JAYAPURA

Apotek Cipta Sehat Farma

-

-

-

Luki Erikson Borumey,S,Si,Apt.

L

-

-

-

-

A

2015

213

KOTA JAYAPURA

Apotek Delta Cipta

-

-

-

Samuel Sandy,S.Si,Apt.

L

-

-

-

-

A

2015

214

KOTA JAYAPURA

Apotek Dewi

-

-

-

Melani Meiske S.Farm,Apt.

P

-

-

-

-

A

2015

215

KOTA JAYAPURA

Apotek Dhiyah Farma

-

-

-

-

-

-

-

-

-

A

2015

216

KOTA JAYAPURA

Apotek Dian Farma

-

-

-

Etty Sri Rahayu,S.Farm,Apt.

P

-

-

-

-

A

2015

217

KOTA JAYAPURA

Apotek Dok 9

-

-

-

-

-

-

-

-

-

A

2015

218

KOTA JAYAPURA

Apotek Dr. Aida

-

-

-

-

-

-

-

-

-

A

2015

219

KOTA JAYAPURA

Apotek Dr. Fanny

-

-

-

-

-

-

-

-

-

A

2015

220

KOTA JAYAPURA

Apotek Duta Farma

-

-

-

Drs.Nelson Hutagalung,S.Si,Apt.

L

-

-

-

-

A

2015

221

KOTA JAYAPURA

Apotek Elim Abepura

-

-

-

Yenny Tutu Sarapan,S.Si,Apt.

P

-

-

-

-

A

2015

222

KOTA JAYAPURA

Apotek Entrop Sejahtera

-

-

-

Dra.Erryani,Apt.

P

-

-

-

-

A

2015

10


Apotek

NAMA APOTEK

NO IZIN

ALAMAT

TLP/FAX

PENANGGUNG JAWAB

JENIS KELAMIN (P/L)


NAMA PEMILIK


NO

KAB/KOTA

223

KOTA JAYAPURA

Apotek Fajar Indah

-

-

-

Chusnul C,S.Si,Apt.

L

-

-

-

-

A

2015

224

KOTA JAYAPURA

Apotek Fajar Indah 2

-

-

-

-

-

-

-

-

-

A

2015

225

KOTA JAYAPURA

Apotek Graha Medika

-

-

-

Yusuf Kulle,S.Si,Apt.

L

-

-

-

-

A

2015

226

KOTA JAYAPURA

Apotek Harmonis Farma

-

-

-

Dra.Sariati Sirait,Apt.

P

-

-

-

-

A

2015

227

KOTA JAYAPURA

Apotek Husada

-

-

-

Drs.Buyung,Apt.

L

-

-

-

-

A

2015

228

KOTA JAYAPURA

Apotek Inti Farmasi

-

-

-

Rina,Hefriani,S.Farm,Apt.

P

-

-

-

-

A

2015

229

KOTA JAYAPURA

Apotek Jodan

-

-

-

Sarce Makaba,S.Si,Apt,M.Kes.

P

-

-

-

-

A

2015

230

KOTA JAYAPURA

Apotek K-24

-

-

-

Pratiwi Soegiharti, S.Farm,Apt.

P

-

-

-

-

A

2015

231

KOTA JAYAPURA

Apotek K-24 Abepura

-

-

-

Ipa Indiyani,S.Farm,Apt

P

-

-

-

-

A

2015

232

KOTA JAYAPURA

Apotek K24 Kotaraja

-

-

-

-

-

-

-

-

-

A

2015

233

KOTA JAYAPURA

Apotek Karya Kasih (Dok 2)

-

-

-

-

-

-

-

-

-

A

2015

234

KOTA JAYAPURA

Apotek Karya Rahmat

-

-

-

Syirul Asyar,Apt

L

-

-

-

-

A

2015

235

KOTA JAYAPURA

Apotek Kasih Bunda

-

-

-

Amin Nur Hanida,S.Farm.Apt.

P

-

-

-

-

A

2015

236

KOTA JAYAPURA

Apotek Kimia Farma - 42

-

-

-

Drs.Sutarno,Apt.

L

-

-

-

-

A

2015

237

KOTA JAYAPURA

Apotek Kimia Farma Cendrawasih

-

-

-

Drs.I.Nyoman Sukra B,Apt.

P

-

-

-

-

A

2015

238

KOTA JAYAPURA

Apotek Kimia Farma Hola Plaza

-

-

-

-

-

-

-

-

-

A

2015

239

KOTA JAYAPURA

Apotek Kimia Farma Kotaraja

-

-

-

-

-

-

-

-

-

A

2015

240

KOTA JAYAPURA

Apotek Kimia Farma Mutiara

-

-

-

Drs.Ramli Bandu,Apt.

L

-

-

-

-

A

2015

241

KOTA JAYAPURA

Apotek Koya Barat

-

-

-

-

-

-

-

-

-

A

2015

242

KOTA JAYAPURA

Apotek Laboratorium Parama

-

-

-

-

-

-

-

-

-

A

2015

243

KOTA JAYAPURA

Apotek Maharani

-

-

-

-

-

-

-

-

-

A

2015

244

KOTA JAYAPURA

Apotek Makmur Farma

-

-

-

Ferry Sesotya Hidayat,S.Farm,Apt.

L

-

-

-

-

A

2015

11


Apotek

NAMA APOTEK

NO IZIN

ALAMAT

TLP/FAX

PENANGGUNG JAWAB

JENIS KELAMIN (P/L)


NAMA PEMILIK


NO

KAB/KOTA

245

KOTA JAYAPURA

Apotek Mariza Farma

-

-

-

Corneles Hehanusa

L

-

-

-

-

A

2015

246

KOTA JAYAPURA

Apotek Matahari

-

-

-

Wahyu Astuti,S.Farm,Apt.

P

-

-

-

-

A

2015

247

KOTA JAYAPURA

Apotek Medika

-

-

-

Cicilia Brata,S.Si,Apt.

P

-

-

-

-

A

2015

248

KOTA JAYAPURA

Apotek Mitra Papua

-

-

-

Engelberth Theresia S.S.Farm,Apt.

P

-

-

-

-

A

2015

249

KOTA JAYAPURA

Apotek Mitra Sehat

-

-

-

Imelda Gunawan,S,Si,Apt.

P

-

-

-

-

A

2015

250

KOTA JAYAPURA

Apotek Murah Farma

-

-

-

Santi Mangisu,S.Si,Apt.

P

-

-

-

-

A

2015

251

KOTA JAYAPURA

Apotek Murah Farma 2

-

-

-

Irma Iriani,S.Si,Apt.

P

-

-

-

-

A

2015

252

KOTA JAYAPURA

Apotek Natasha Care

-

-

-

Novreny,S.Farm,Apt.

P

-

-

-

-

A

2015

253

KOTA JAYAPURA

Apotek Nusantara

-

-

-

Doris Elsye Samallo,S.Farm,Apt.

P

-

-

-

-

A

2015

254

KOTA JAYAPURA

Apotek Papua Jaya Farma

-

-

-

Elisabeth,S.Si,Apt.

P

-

-

-

-

A

2015

255

KOTA JAYAPURA

Apotek Pasir 2

-

-

-

-

-

-

-

-

-

A

2015

256

KOTA JAYAPURA

Apotek Pelita Hidup

-

-

-

Ade Sri,W.S.Si,Apt.

P

-

-

-

-

A

2015

257

KOTA JAYAPURA

Apotek Pelita Jaya Farma

-

-

-

Sisilia Budiarti,S.Si,Apt.

P

-

-

-

-

A

2015

258

KOTA JAYAPURA

Apotek Permata

-

-

-

-

-

-

-

-

-

A

2015

259

KOTA JAYAPURA

Apotek Polimak

-

-

-

-

-

-

-

-

-

A

2015

260

KOTA JAYAPURA

Apotek Primkoppol Bid Dokkes Polda Papua

-

-

-

Yulis Trinovitawai, Sfar,Apt.

P

-

-

-

-

A

2015

261

KOTA JAYAPURA

Apotek Rahmat

-

-

-

Dra.Betty.P.Apt.

P

-

-

-

-

A

2015

262

KOTA JAYAPURA

Apotek RS Dian Harapan

-

-

-

-

-

-

-

-

-

A

2015

263

KOTA JAYAPURA

Apotek Rumah Sederhana

-

-

-

Dra.Juliana Serafina,Apt.

P

-

-

-

-

A

2015

264

KOTA JAYAPURA

Apotek Sakura

-

-

-

Syahrani,S.Si,Apt

P

-

-

-

-

A

2015

265

KOTA JAYAPURA

Apotek Segar

-

-

-

Drs.Rahmat Barus,Apt.

L

-

-

-

-

A

2015

266

KOTA JAYAPURA

Apotek Sehat

-

-

-

Dra.Selly Ajaiwaila,Apt.

P

-

-

-

-

A

2015

267

KOTA JAYAPURA

Apotek Sekar Jaya

-

-

-

Naila Shufa,S.Farm,Apt.

P

-

-

-

-

A

2015

12


Apotek

NAMA APOTEK

NO IZIN

ALAMAT

TLP/FAX

PENANGGUNG JAWAB

JENIS KELAMIN (P/L)


NAMA PEMILIK


NO

KAB/KOTA

268

KOTA JAYAPURA

Apotek Simpatik

-

-

-

Siti Murfiah,S.Si,Apt.

P

-

-

-

-

A

2015

269

KOTA JAYAPURA

Apotek Sinar Bahari

-

-

-

Drs.Hans Kakerisa,Apt.

L

-

-

-

-

A

2015

270

KOTA JAYAPURA

Apotek Skyline Farma

-

-

-

Andi Awaludin, S. Farm. Apt

L

-

-

-

-

A

2015

271

KOTA JAYAPURA

Apotek Soleh Brothers

-

-

-

Ingrit,S.Si,Apt.

P

-

-

-

-

A

2015

272

KOTA JAYAPURA

Apotek Sumber Berkat

-

-

-

Febdison B.Patabang,S.Farm.Apt.

L

-

-

-

-

A

2015

273

KOTA JAYAPURA

Apotek Sumber Harapan

-

-

-

Herianto Baan,S.Si,Apt.

L

-

-

-

-

A

2015

274

KOTA JAYAPURA

Apotek Sumber Sehat Puskopad

-

-

-

Dyah Anggoro Asih,S.Farm,Apt.

P

-

-

-

-

A

2015

275

KOTA JAYAPURA

Apotek Tiara

-

-

-

-

-

-

-

-

-

A

2015

276

KOTA JAYAPURA

Apotek Tiara 2

-

-

-

Arif Setiawan,S.Si,Apt.

L

-

-

-

-

A

2015

277

KOTA JAYAPURA

Apotek Ulfa 2 (Entrop)

-

-

-

-

-

-

-

-

-

A

2015

278

KOTA JAYAPURA

Apotek Ulfalia

-

-

-

Sri Widiastuti,S.Farm,Apt.

P

-

-

-

-

A

2015

279

KOTA JAYAPURA

Apotek Veteran

-

-

-

-

-

-

-

-

-

A

2015

280

KOTA JAYAPURA

Apotek Villy Farma

-

-

-

Ida Astuti,S.Si,Apt.

P

-

-

-

-

A

2015

281

KOTA JAYAPURA

Apotek Villy Farma 2

-

-

-

Budi Astuti, S.Farm,Apt.

P

-

-

-

-

A

2015

282

KOTA JAYAPURA

Apotek Waena Jaya

-

-

-

Rusnaeni,S.Farm,M.Si,Apt.

P

-

-

-

-

A

2015

283

KOTA JAYAPURA

Apotek X (Sebelah IGD RSUD Abe)

-

-

-

-

-

-

-

-

-

A

2015

284

KOTA JAYAPURA

Apotek Y(Depan IGD RSUD Abe)

-

-

-

-

-

-

-

-

-

A

2015

285

KOTA JAYAPURA

Apotek Yotefa

-

-

-

Budiarti,S.Si,Apt.

P

-

-

-

-

A

2015

286

KOTA JAYAPURA

Apotek Z

-

(Samping IGD RSUD Abe)

-

-

-

-

-

-

-

A

2015

13

DAFTAR SARANA APOTEK PROVINSI PAPUA

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