Contract Pharmacy Details

THRIFTY PAYLESS, 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

THRIFTY PAYLESS, INC.

Pharmacy Address

RITE AID #5622
7100 AVENIDA ENCINAS
CARLSBAD, CA 92011

Pharmacy Comments

Contract Details

Approval Date

7/1/2016

Contract Begin Date

10/1/2016

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

2/11/2019
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Fernando Sanudo, CEO
(760) 631-5000 Ext: 4

Contract Pharmacy Representative

Rite Aid
Alison Farrell, Vice President |Managed Care
(717) 975-5968

Signed By Date

7/1/2016

340B Drug Pricing Program Database