MEDICARE: APRIA HEALTHCARE, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336S0011X	Specialty Pharmacy
2	3336H0001X	Home Infusion Therapy Pharmacy

General Provider Information

NPI Number	:	1952504359
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APRIA HEALTHCARE, INC.

Provider Business Mailing Address
First Line	:	250 TECHNOLOGY DR
Second Line	:
City	:	CANONSBURG
State	:	PA
Zip	:	15317-9564
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6125 W RENO AVE
Second Line	:	SUITE 300
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73127-6539
Country	:	US
Telephone Number	:	405-495-1919
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT AND COO
Name	:	LAWRENCE MASTROVICH
Credential	:
Telephone Number	:	949-639-2000

Provider Enumeration Date	:	06/06/2007
Last Update Date	:	09/20/2007

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