MemberID
VA0533
LIC
NULL
HIN
NULL
Address
1100 E. Church St.
Address2
NULL
City
Martinsville
STATE
VA
AssignmentStatus
Tentative
Account
NULL
Client
NULL
Affiliate
Territory
NULL
Website
NULL
RegionalSponsor
NULL
XetexCode
PRVA0533
SystemID
VA0121
ParentID
VA0209
CompanyCode
Premier, Inc
ClassOfTrade
Phone
(276) 638-2354
Fax
(276) 638-3398