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WAL-MART PHARMACY 10-5075
CH09167Q VISTA COMMUNITY CLINIC
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Covered Entity Details
Entity Name
VISTA COMMUNITY CLINIC
Subdivision Name
VCC: Fallbrook Pediatrics
Type
HRSA-Funded Health Center
340B ID
CH09167Q
Entity Address
321 E Alvarado St
Fallbrook, CA 92028-2912
Grant Number
H80CS00282
Participating Start Date
4/1/2023
Last Recertification Date
2/19/2025
Pharmacy Details
Pharmacy Name
WAL-MART PHARMACY 10-5075
Pharmacy Address
3405 MARRON RD
OCEANSIDE, CA 92056
Pharmacy Comments
Contract Details
Approval Date
7/12/2023
Contract Begin Date
10/1/2023
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
7/12/2023
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