Contract Pharmacy Details

PHARMEDQUEST PHARMACY
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

PHARMEDQUEST PHARMACY

Pharmacy Address

PHARMEDQUEST PHARMACY SERVICES
451 W. LAMBERT RD STE 209
BREA, CA 92821-9282

Pharmacy Comments

Contract Details

Approval Date

7/15/2019

Contract Begin Date

10/1/2019

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/1/2022
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Michele Lambert, CFO
(760) 216-5803

Contract Pharmacy Representative

PharMedQuest Pharmacy
Kaitlyn Cao, Pharmacy Manager
(714) 364-4008

Signed By Date

7/15/2019

340B Drug Pricing Program Database