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WAL-MART PHARMACY 10-1700
CH09167J VISTA COMMUNITY CLINIC
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Covered Entity Details
Entity Name
VISTA COMMUNITY CLINIC
Subdivision Name
VCC: The Gary Center
Type
HRSA-Funded Health Center
340B ID
CH09167J
Entity Address
201 S. Harbor Blvd.
La Habra, CA 90631-5654
Grant Number
H80CS00282
Participating Start Date
4/1/2017
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-1700
Pharmacy Address
13425 COMMUNITY ROAD
POWAY, CA 92064
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
Walmart
Julie Howard, Senior Manager, 340B Program
(479) 277-1498
Signed By Date
1/12/2023
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