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AHF PHARMACY
CH09167F VISTA COMMUNITY CLINIC
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Covered Entity Details
Entity Name
VISTA COMMUNITY CLINIC
Subdivision Name
VISTA COMMUNITY CLINIC MOBILE VAN
Type
HRSA-Funded Health Center
340B ID
CH09167F
Entity Address
1000 Vale Terrace Dr
Vista, CA 92084-5218
Grant Number
H80CS00282
Participating Start Date
4/1/2016
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
AHF PHARMACY
Pharmacy Address
AIDS HEALTHCARE FOUNDATION
1988 HACIENDA DR
VISTA, CA 92081-6026
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
AIDS HEALTHCARE FOUNDATION
Peter Reis, Senior Vice President
(323) 860-5208
Signed By Date
1/12/2023
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