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RIVER MEDICAL PHARMACY LLC
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
RIVER MEDICAL PHARMACY LLC
Pharmacy Address
4752 RESEARCH DR
SAN ANTONIO, TX 78240-5002
Pharmacy Comments
Contract Details
Approval Date
1/4/2018
Contract Begin Date
4/1/2018
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
CarepathRx Health System Solution
Ryan Rushing, Vice President, 340B Solutions
(512) 541-0665
Signed By Date
1/4/2018
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