Custom Ivy INC
NPI #1346105228 in Aliso Viejo, California
Provider Information
- NPI Number
- 1346105228
- Entity Type
- Organization
- Organization Name
- Custom Ivy INC
- Primary Specialty
- Pharmacy
- Enumeration Date
- Dec 22, 2025
- Last Updated
- Dec 22, 2025
Practice Location
- Address
- 72 ARGONAUT STE 130
- City
- Aliso Viejo
- State
- California
- ZIP Code
- 92656-4144
- Phone
- (949) 520-6864
Authorized Official
- Name
- GREG WARE
- Title
- CEO/CFO/SEC.
- Phone
- (949) 615-6534
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
| Pharmacy |
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