EURL BMI 34
7, rue du bourg neuf
79350 - FAYE L'ABBESSE
SIRET: 80348806300014
Mobile: 06 48 19 65 06
Email: sarl.bmi34@gmail.com
Website: http://rosapo.fr
La pharmacie du Bocage
38 Rue de Poitiers
79700 Mauléon
PATIENT(E) : TESSIER Nathalie
CODE :
REFERENCE : ROSA-5557-TESSI
Tel : 0689851188
Date d'émission 10/06/2022
Abdominal-lumbar support belt (CMAL)
STRAPS 201 E02.02
Additional side stapling 201.E02.071
Inner strap 201.E02.16
1
0.00
5.5%
0.00 €
1
0.00
5.5%
0.00 €
2
0.00
5.5%
0.00 €
1
0.00
5.5%
0.00 €
UNDER THIGHS 201.E02.17
1
0.00
5.5%
0.00 €
Crotch strap (201.E02.12)
1
0.00
5.5%
0.00 €
Supplement WRAP-AROUND FORM 201.E03.02
1
22.73
5.5%
23.98 €
Supplement FOREHEIGHT 201.E03.01
1
22.73
5.5%
22.73 €
Supplement PELVIC CIRCUMFERENCE 201.E03.03
1
5.5%
5.30 €
Code
Reduced
Base HT
22.05 €
Rate
5.50%
Amount
1.22 €
Payment
23.27 € au
August 19, 2022
Total (excluding VAT)
50.49 €
Discount
- 28.44 €
Total (excluding tax)
22.05 €
VAT
Total (including VAT)
1.22 €
23.27 €
Name
IBAN
BIC
BNP Paribas
FR76 3000 4006 0700 0102 3457 931
BNPAFRPPXXX
BMI 34 - IBAN FR76 3000 4006 0700 0102 3457 931 - NAF (APE) Code 8559A - EURL with a share capital of €1 - Siret: 80348806300014
- VAT No. FR39803488063