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This Virginia Business article examines the competition for Virginia’s medical cannabis license serving the Shenandoah Valley and surrounding communities. The feature highlights Pure Shenandoah’s application, our experience with seed-to-sale hemp operations, and Tanner Johnson’s belief that a Virginia-based company could provide stronger service to local patients. It also explores the investment required to establish an integrated cultivation, manufacturing, and dispensary network while expanding medical cannabis access across the region.