Contract Pharmacy Details

THRIFTY PAYLESS, INC.
CH09167H VISTA COMMUNITY CLINIC

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

THRIFTY PAYLESS, INC.

Pharmacy Address

RITE AID #5634
1201 SOUTH COAST HIGHWAY
OCEANSIDE, CA 92054

Pharmacy Comments

Contract Details

Approval Date

1/8/2024

Contract Begin Date

4/1/2024

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

5/1/2024
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

1/8/2024

340B Drug Pricing Program Database