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US BIOSERVICES
CH091670 VISTA COMMUNITY CLINIC
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Covered Entity Details
Entity Name
VISTA COMMUNITY CLINIC
Subdivision Name
VCC: VALE TERRACE
Type
HRSA-Funded Health Center
340B ID
CH091670
Entity Address
1000 Vale Terrace Dr.
Vista, CA 92084-5218
Grant Number
H80CS00282
Participating Start Date
4/1/1996
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
US BIOSERVICES
Pharmacy Address
PHARM PLUS ACQUISITION, INC.
5100 E HUNTER AVE
SUITE 101
ANAHEIM, CA 92807-2049
Pharmacy Comments
Contract Details
Approval Date
4/15/2019
Contract Begin Date
7/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
8/24/2022
Ownership change
Contacts
Covered Entity Signing Official
Michele Lambert, CFO
(760) 216-5803
Contract Pharmacy Representative
US Bioservices
Nisha Parekh, Pharmacist-in-Charge
(800) 801-1140
Signed By Date
4/15/2019
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