340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
RUSTBURG FAMILY PHARMACY
CH0310560 JOHNSON HEALTH CENTER
Print
Covered Entity Details
Entity Name
JOHNSON HEALTH CENTER
Subdivision Name
JOHNSON HEALTH CENTER
Type
HRSA-Funded Health Center
340B ID
CH0310560
Entity Address
320 Federal St
Lynchburg, VA 24504-2306
Grant Number
H80CS02445
Participating Start Date
10/1/2004
Last Recertification Date
2/10/2025
Pharmacy Details
Pharmacy Name
RUSTBURG FAMILY PHARMACY
Pharmacy Address
925 VILLAGE HWY, STE 2
PO BOX 1005
RUSTBURG, VA 24588
Pharmacy Comments
Contract Details
Approval Date
7/2/2018
Contract Begin Date
10/1/2018
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/1/2020
Pharmacy closed
Contacts
Covered Entity Signing Official
Gary Campbell, CEO
(434) 455-2480 Ext: 1102
Contract Pharmacy Representative
Rustburg Pharmacy
Vince Ettare, Owner
(434) 332-1730
Signed By Date
7/2/2018
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session