Healthcare Provider Details

I. General information

NPI: 1104712694
Provider Name (Legal Business Name): HOLLY VERBRUGGE PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2025
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11201 GEORGIA AVE
WHEATON MD
20902-4617
US

IV. Provider business mailing address

11201 GEORGIA AVE
WHEATON MD
20902-4617
US

V. Phone/Fax

Practice location:
  • Phone: 301-933-4684
  • Fax:
Mailing address:
  • Phone: 301-933-4684
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0202223953
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number31198
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: