Organization
VISTA COMMUNITY CLINIC
Active
Other names
Tri-City Branch Dispensary
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELE LAMBERT (CFO)
(760) 726-0065
Entity
Organization
Contact information
Practice address
1000 VALE TERRACE DR, VISTA, CA 92084-5218
(760) 631-5000
Mailing address
1000 VALE TERRACE DR, VISTA, CA 92084-5218
(760) 631-5000
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
CLN243
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0540369
NATIONAL ASSOCIATION OF BOARDS OF PHARMACIES
CA
Enumeration date
04/23/2007
Last updated
06/15/2010
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