340B Drug Pricing Program Database
WALGREEN CO.
RWI60637 Onyx Medical & Wellness PLLC - information as of 6/16/2025 11:57:51 PM
Covered Entity Details
Entity Name
Onyx Medical & Wellness PLLC
Subdivision Name
Nexus
Type
Ryan White Part A
340B ID
RWI60637
Entity Address
30 EAST 69TH STREET
ONYX SUITE
CHICAGO, IL 60637
Grant Number
UT8HA33950
Participating Start Date
7/1/2025
Last Recertification Date
Pharmacy Details
Pharmacy Name
WALGREEN CO.
Pharmacy Address
WALGREENS SPECIALTY PHARMACY #13832
4339 DIPAOLO CENTER
GLENVIEW, IL 60025
Pharmacy Comments
Contract Details
Approval Date
4/29/2025
Contract Begin Date
7/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Maya Green, CEO
(773) 865-3537
Contract Pharmacy Representative
Walgreens
Ruthann Archer, Director of 340B Operations
(847) 964-8116
Signed By Date
4/15/2025
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