340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
WAL-MART PHARMACY 10-2494
CH09167J VISTA COMMUNITY CLINIC
Print
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 10-2494
Pharmacy Address
2100 VISTA WAY
OCEANSIDE, CA 92054
Pharmacy Comments
Contract Details
Approval Date
10/10/2024
Contract Begin Date
1/1/2025
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
10/10/2024
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session