Contract Pharmacy Details

THE VONS COMPANIES 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

THE VONS COMPANIES INC

Pharmacy Address

VONS PHARMACY #2360
845 COLLEGE BOULEVARD
OCEANSIDE, CA 92057

Pharmacy Comments

Contract Details

Approval Date

9/10/2012

Contract Begin Date

9/10/2012

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/19/2024
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Barbara Mannino, CEO
(760) 631-5000

Contract Pharmacy Representative

Safeway
Merle Jarvill, Director, Managed Care
(623) 869-4260

Signed By Date

9/27/2012

340B Drug Pricing Program Database