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HILL CITY PHARMACY INC DBA HILL CITY PHA
CH0310560 JOHNSON HEALTH CENTER
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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
HILL CITY PHARMACY INC DBA HILL CITY PHA
Pharmacy Address
819 VILLAGE HWY
RUSTBURG, VA 24588
Pharmacy Comments
Contract Details
Approval Date
1/5/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/3/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Gary Campbell, CEO
(434) 455-2480 Ext: 1102
Contract Pharmacy Representative
Hill City Pharmacy Inc
Brian Moody, Owner/President
(434) 237-2221
Signed By Date
1/5/2023
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