Healthcare Provider Details

I. General information

NPI: 1023913357
Provider Name (Legal Business Name): BEAUTY EMPOWER RX LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3545 CHAIN BRIDGE RD STE 102
FAIRFAX VA
22030-2708
US

IV. Provider business mailing address

3545 CHAIN BRIDGE RD STE 102
FAIRFAX VA
22030-2708
US

V. Phone/Fax

Practice location:
  • Phone: 571-405-6882
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number StateNULL

VIII. Authorized Official

Name: CHLOE BELLE HOOTON
Title or Position: CEO
Credential:
Phone: 833-623-7022