Healthcare Provider Details

I. General information

NPI: 1134066095
Provider Name (Legal Business Name): RXHERE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9868 MAIN ST
FAIRFAX VA
22031-3908
US

IV. Provider business mailing address

9868 MAIN ST
FAIRFAX VA
22031-3908
US

V. Phone/Fax

Practice location:
  • Phone: 848-379-4373
  • Fax:
Mailing address:
  • Phone: 848-379-4373
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835C0207X
TaxonomyCompounded Sterile Preparations Pharmacist
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER MAUGLE
Title or Position: OWNER
Credential: PHARMD.
Phone: 814-934-9816