340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-2094
CH09167H VISTA COMMUNITY CLINIC
Print
Covered Entity Details
Entity Name
VISTA COMMUNITY CLINIC
Subdivision Name
VCC: Durian
Type
HRSA-Funded Health Center
340B ID
CH09167H
Entity Address
105 Durian St Ste A
Vista, CA 92083-6206
Grant Number
H80CS00282
Participating Start Date
4/1/2017
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-2094
Pharmacy Address
1800 UNIVERSITY DR
VISTA, CA 92083
Pharmacy Comments
Contract Details
Approval Date
1/12/2023
Contract Begin Date
1/12/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Michele Lambert, CFO
(760) 216-5803
Contract Pharmacy Representative
Wal-Mart
Marcus Osborne, V.P. Health & Wellness, Sales & Contracting
(479) 204-9374
Signed By Date
1/12/2023
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session