340B Drug Pricing Program Database
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WALGREEN EASTERN CO., INC.
Onyx Medical & Wellness PLLC
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Covered Entity Details
Entity Name
Onyx Medical & Wellness PLLC
Subdivision Name
Type
Sexually Transmitted Diseases
340B ID
Entity Address
30 EAST 69TH STREET
Chicago, IL 60637
Grant Number
UT8H33950
Participating Start Date
Last Recertification Date
Pharmacy Details
Pharmacy Name
WALGREEN EASTERN CO., INC.
Pharmacy Address
DBA WALGREENS SPECIALTY PHARMACY #15316
1227 LOCUST ST
PHILADELPHIA, PA 19107
Pharmacy Comments
Contract Details
Approval Date
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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