Complete Name Community Hospital Specialization Manuf

(First name, Middle

Initial, surname)

Alexa Joy C. Inguillo Name of Drugstore: Name of Hospital: Name of Hospital: Name of Manuf site:
Farmacia Gomez Saint Jude Hospital Saint Jude Hospital YSS Laboratories CO.,
Address: Dr. Address: F.Quimpo Address: F.Quimpo INC.Address: 1133
Street,Kalibo,Aklan Street,Kalibo,Aklan United Nations Ave.,
Gonzales Street From-to (month+year) 1007 Paco, Manila,
From-to (month+year)
Shopping April-May 2019 April-May 2019 Philippines
Center Number of Number of From-to(month+year):
From-to(month+year): hours:200hrs hours:360hrs Number of hours: 200
April to April 2017 Name of Pharmacist - Name of Pharmacist - Name of pharmacist-
Number of hours: 200 incharge: Hellen incharge: Hellen in-charge:
Name of pharmacist- T.Ingalla-Fernandez T.Ingalla-Fernandez PTR No.:
in-charge: __ANNIE R. PTR No.:6415768 PTR No.:6415768 Date issued:
BARBASA Date Date PRC No.
PRC ID No: 0025316 issued:01/04/2019 issued:01/04/2019 Date Issued:
Date Issued:
06/21/17
Professional Tax No.
_5492791
Date Issued:
23/01/17

Rosemarie R. Infante Name of Drugstore: Name of Hospital: Name of Hospital: Name of Manuf site:
The Generics Saint Jude Hospital Saint Jude Hospital YSS Laboratories CO.,
Pharmacy Address: F.Quimpo Address: F.Quimpo INC.Address: 1133
Address: Mabini Street Street,Kalibo,Aklan Street,Kalibo,Aklan United Nations Ave.,
Kalibo, Aklan From-to (month+year) From-to (month+year) 1007 Paco, Manila,
From-to(month+year): April-May 2019 April-May 2019 Philippines
April to April 2017 Number of Number of From-to(month+year):
Number of hours: 200 hours:200hrs hours:360hrs Number of hours: 200
Name of pharmacist- Name of Pharmacist - Name of Pharmacist - Name of pharmacist-
in-charge: Aileen Z. Sta incharge: Hellen incharge: Hellen in-charge:
Maria T.Ingalla-Fernandez T.Ingalla-Fernandez PTR No.:
PRC ID No: 0033351 PTR No.:6415768 PTR No.:6415768 Date issued:
Date Issued: Date Date PRC No.
01/11/2004 issued:01/04/2019 issued:01/04/2019 Date Issued:
Professional Tax No.
6466334
Date Issued:
06/26/2017

Johnna Keren F. Name of Hospital: Name of Hospital: Name of Manuf site:

Buencamino Saint Jude Hospital Saint Jude Hospital YSS Laboratories CO.,
Address: F.Quimpo Address: F.Quimpo INC.Address: 1133
Street,Kalibo,Aklan Street,Kalibo,Aklan United Nations Ave.,
From-to (month+year) From-to (month+year) 1007 Paco, Manila,
April-May 2019 April-May 2019 Philippines
Number of Number of From-to(month+year):
hours:200hrs hours:360hrs Number of hours: 200
Name of Pharmacist - Name of Pharmacist - Name of pharmacist-
incharge: Hellen in-charge:
T.Ingalla-Fernandez incharge: Hellen PTR No.:
PTR No.:6415768 T.Ingalla-Fernandez Date issued:
Date PTR No.:6415768 PRC No.
issued:01/04/2019 Date Date Issued:
issued:01/04/2019