Contract Pharmacy Details

THRIFTY PAYLESS, INC.
CH09167G VISTA COMMUNITY CLINIC

Covered Entity Details

Entity Name

VISTA COMMUNITY CLINIC

Subdivision Name

VCC: Lake Elsinore

Type

HRSA-Funded Health Center

340B ID

CH09167G

Entity Address

30195 FRASER DR
LAKE ELSINORE, CA 92530-7006

Grant Number

H80CS00282

Participating Start Date

4/1/2016

Last Recertification Date

2/19/2025

Pharmacy Details

Pharmacy Name

THRIFTY PAYLESS, INC.

Pharmacy Address

RITE AID #5642
1363 EAST VISTA WAY
VISTA, CA 92084

Pharmacy Comments

Contract Details

Approval Date

1/12/2023

Contract Begin Date

1/12/2023

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

10/4/2024
Business decision by covered entity and/or pharmacy

Contacts

Covered Entity Signing Official

Michele Lambert, CFO
(760) 216-5803

Contract Pharmacy Representative

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

Signed By Date

1/12/2023

340B Drug Pricing Program Database