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) : LACROIX Karine
CODE : 537
REFERENCE : ROSA-3795-LACRO
Tel : 0640787938
Mail : karine.auroyer@wanadoo.fr
Date d'émission 03/09/2022
Abdominal-lumbar support belt (CMAL)
STRAPS 201 E02.02
Additional side stapling 201.E02.071
Inner strap 201.E02.16
1
101.06
5.5%
106.62 €
1
41.32
5.5%
43.59 €
2
17.54
5.5%
37.01 €
1
51.37
5.5%
54.20 €
UNDER THIGHS 201.E02.17
1
0.00
5.5%
0.00 €
Crotch strap (201.E02.12)
1
13.93
5.5%
14.70 €
Supplement WRAP-AROUND FORM 201.E03.02
1
32.84
5.5%
34.65 €
Supplement FOREHEIGHT 201.E03.01
1
5.05
5.5%
5.05 €
Supplement PELVIC CIRCUMFERENCE 201.E03.03
1
5.5%
0.00 €
Code
Reduced
Base HT
248.89 €
Rate
5.50%
Amount
17.20 €
Payment
266.09 € au
September 3, 2022
Total (excluding VAT)
263.11 €
Discount
- 14.22 €
Total (excluding tax)
248.89 €
VAT
Total (including VAT)
17.20 €
266.09 €
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