Contract Pharmacy Details

ACARIAHEALTH PHARMACY #14, INC.
CH091670 VISTA COMMUNITY CLINIC

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

ACARIAHEALTH PHARMACY #14, INC.

Pharmacy Address

4151 E COMMERCE WAY # 1041
SACRAMENTO, CA 95834-9679

Pharmacy Comments

Contract Details

Approval Date

7/12/2019

Contract Begin Date

10/1/2019

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

10/1/2021
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Michele Lambert, CFO
(760) 216-5803

Contract Pharmacy Representative

Acariahealth Pharmacy, Inc
Rob Jarvis, Vice President, Pharmacy Relations & Business Strategy
(304) 552-4119

Signed By Date

7/12/2019

340B Drug Pricing Program Database