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W poniższym formularzu należy podać wszystkie dane
zawarte w otrzymanym z NFZ przydziale zakresów numerów recept.

Jeśli otrzymałeś zakres numerów z Łódzkiego NFZ kliknij tutaj >>

Nazwisko:
Imię:
Nr PWZ: *
Regon: *
Liczba numerów:
Pierwszy numer z zakresu:
Ostatni numer z zakresu:
Umieść na recepcie kod NFZ:
Umieść na recepcie
dane świadczeniodawcy:




* wpisanie numeru skutkuje nadrukowaniem kodu kreskowego na recepcie.


All prices quoted above are net prices. If you have valid VAT ID, you will receive 0% rate VAT invoice. Otherwise, please add 23% VAT rate to the net price of your order. Turnaround Time is specified in working days and does not include delivery time which takes between 2-4 days depending on the destination.


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