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ACCOUNT ACTIVATION


IMPORTANT NOTICE

If you currently have an account with TrillaMed, you can use this form to retrieve your login.  If you have problems accessing your account, please call us to assist you in accessing your online purchasing account.
In order to begin purchasing from TrillaMed, we need to activate your account and send you your login information.

Please complete the following form, and your login information will be sent to your e-mail address.

Verification Information
The following fields are needed for customer verification.
TrillaMed Account Number:
Bill-To Address:
Enter the street address exactly as it appears on your TrillaMed invoices.
Bill-To Postal Code:
Please include the postal code for your main TrillaMed Account location.

Contact Information
Enter your contact information below. We will send your login information to the email address below and update your primary login account with the following information.
First Name:
Last Name:
Email Address:
Please include the email address to where the login information will be sent.
Phone Number:
Please include a phone number for your account. We may use this number to verify that your account has been activated.



About Us | Contact Us

Cage Code: 56FN2
DUNS: #828126321

 TrillaMed, LLC
Corporate Headquarters:
30100 Telegraph Road, Suite 366
Bingham Farms, MI 48025
ph# 877-273-8672
fax# 713-366-0773

DAPA MedSurg General#: SP0200-09-H-0037
DAPA Equipment #: SP0200-10-H-0028

FSS MedSurg General #: V797P-4269B

FSS Pharmaceutical #:  V797P-5243B